Individual
ELIZABETH MAZZELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20 WILLOUGH BY LOOP LOT 28, COWEN, WV 26206
(304) 619-1774
Mailing address
PO BOX 139, UPPERGLADE, WV 26266-0139
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/05/2021
Last updated
03/05/2021
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