Individual
MELISA ANGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
332 6TH AVE, CHARLESTON, WV 25303-1269
(304) 757-9333
Mailing address
332 6TH AVE, CHARLESTON, WV 25303-1269
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
25989
WV
Other
Enumeration date
01/09/2024
Last updated
01/09/2024
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