Individual
ALLEN W MALLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1513 HARRISON AVE STE A2, ELKINS, WV 26241-4514
(304) 636-5195
Mailing address
52 GROUNDHOG DR, ELKINS, WV 26241-7506
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
05/15/2024
Last updated
05/15/2024
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