Individual
MELISSA LEIGH WHITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
414 INDUSTRIAL PARK RD, MAXWELTON, WV 24957
(304) 314-7452
Mailing address
151 FRAZIER ST, LEWISBURG, WV 24901-2065
(304) 647-8922
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
28952
WV
Other
Enumeration date
11/29/2023
Last updated
11/05/2024
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