Individual
MARILYN GIFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
105 MAPLEWOOD DR, FAIRMONT, WV 26554-2147
(304) 366-8779
Mailing address
105 MAPLEWOOD DR, FAIRMONT, WV 26554-2147
(304) 366-8779
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/08/2020
Last updated
10/08/2020
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