Individual
MAVIS JEAN BLEIGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15 BANK ST, CLAY, WV 25043
(304) 587-9992
(304) 587-9993
Mailing address
25 SUNDANCE RD, IVYDALE, WV 25113-8164
(304) 968-9002
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
11/23/2020
Last updated
12/03/2020
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