Individual
MICHELLE MULLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20031 KNOBLEY RD, NEW CREEK, WV 26743-4654
(681) 620-6018
Mailing address
20031 KNOBLEY RD, NEW CREEK, WV 26743-4654
(681) 620-6018
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
08/10/2021
Last updated
08/10/2021
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