Individual
AGNES MALCOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
901 JERSEY MOUNTAIN RD, ROMNEY, WV 26757-6517
(304) 822-4333
Mailing address
901 JERSEY MOUNTAIN RD, ROMNEY, WV 26757-6517
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
01/28/2021
Last updated
01/28/2021
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