Individual
MOLLIE BRUCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3204 VIRGINIA AVE, HURRICANE, WV 25526-1324
(304) 962-0976
Mailing address
3204 VIRGINIA AVE, HURRICANE, WV 25526-1324
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/15/2021
Last updated
03/15/2021
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