Individual
MS. MELISSA ODONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12 CHURCH ST, CAMERON, WV 26033-1217
(304) 686-3305
Mailing address
12 CHURCH ST, CAMERON, WV 26033-1217
(304) 686-3305
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
77022
WV
Other
Enumeration date
08/22/2018
Last updated
08/22/2018
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