Individual
JULIA MISHOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3102 CHESTERFIELD AVE, CHARLESTON, WV 25304-1214
(304) 346-6688
Mailing address
3102 CHESTERFIELD AVE, CHARLESTON, WV 25304-1214
(304) 346-6688
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
936
WV
Other
Enumeration date
06/13/2012
Last updated
01/29/2013
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