Individual
MICHAELA MALLORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
119 DUNBAR AVE, DUNBAR, WV 25064-3305
(304) 419-1887
Mailing address
119 DUNBAR AVE, DUNBAR, WV 25064-3305
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
05/19/2025
Last updated
05/19/2025
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