Individual
MADELINE ISABEL BLEVINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1538 CHARLESTON AVE, HUNTINGTON, WV 25701
(304) 696-7302
Mailing address
7100 COUNTRY CLUB DR UNIT B, HUNTINGTON, WV 25705-2063
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
IN0010523
WV
Other
Enumeration date
09/04/2024
Last updated
09/04/2024
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