Individual
MELISSA UPHOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
320 N WILLIS ST, BOBTOWN, PA 15315
(304) 291-3345
Mailing address
320 N WILLIS ST, BOBTOWN, PA 15315
(304) 291-3345
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
08/13/2020
Last updated
06/23/2021
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