Individual
MATTHEW MULLENAX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
115 MULLENAX DR, BRIDGEPORT, WV 26330-7427
(304) 612-1151
Mailing address
115 MULLENAX DR, BRIDGEPORT, WV 26330-7427
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/25/2025
Last updated
06/25/2025
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