TABULA RASA, PLLC
Managed Care Organizations in Crab Orchard, WV

License number
West Virginia AP00943133
Category
Managed Care Organizations
Type
Exclusive Provider Organization
Owner
Name: KEVIN BLANKENSHIP M.D.
Title: DIRECTOR
Phone: (681) 238-5957
Address
Address
1296 Robert C. Byrd Dr, Crab Orchard, WV 25827
National Provider ID: 1730628025
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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