Individual
ALISA DAWN MERRITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
632 13TH ST APT 1, HUNTINGTON, WV 25701-2331
(304) 417-5472
Mailing address
PO BOX 1414, HUNTINGTON, WV 25715-1414
(304) 417-5472
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
08/25/2020
Last updated
06/24/2021
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