Individual
DR. EMILY SAMANTHA MALLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
15630 N PRESTON HWY, BRUCETON MILLS, WV 26525-7036
(517) 285-0417
Mailing address
36 FOUNDERS WAY, MORGANTOWN, WV 26508-1102
(517) 285-0417
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
038-010671
IL
111N00000X
Chiropractor
Primary
895
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810015448
—
WV
Enumeration date
05/24/2006
Last updated
08/01/2024
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