Individual
MS. GINA DIDAWICK MELLOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
247 HARRISON AVENUE, MORGAN COUNTY BOARD OF EDUCATION, BERKELEY SPGS, WV 25411
(304) 258-2430
(304) 258-4600
Mailing address
398 THEO HOVERMALE RD, BERKELEY SPGS, WV 25411
(304) 258-1058
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
47342
WV
Other
Enumeration date
01/15/2008
Last updated
01/15/2008
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