Most Relevant Information
Provider Data
| NPI Number: | 1003418773 |
| Provider Name: | JAMIE LEE NITZ |
| Entity Type: | Individual |
| Taxonomy Code: | 3747P1801X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/09/2020 |
| Last Updated: | 11/09/2020 |
Provider Practice Location
2366 2ND ST
MASON
WV
252601273
Practice Location Phone/Fax
| Phone: | 3045939816 |
| Fax: |
Provider Mailing Location
2366 2ND ST
MASON
WV
252601273
Provider Mailing Phone/Fax
| Phone: | 3045939816 |
| Fax: |