Individual
MELISSA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
113 FAITH LN, POCA, WV 25159-0377
(304) 545-4981
Mailing address
PO BOX 501, POCA, WV 25159-0501
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
—
Other
Enumeration date
02/09/2023
Last updated
02/09/2023
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