Individual
ALYSSA NICOLE MEDFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
507 RANCHLAND LN, LIZEMORES, WV 25125-8177
(304) 587-7599
Mailing address
507 RANCHLAND LN, LIZEMORES, WV 25125-8177
(304) 587-7599
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
01/13/2021
Last updated
10/16/2023
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