Individual
ZEBULUN MALLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 MEDICAL CENTER DR, MORGANTOWN, WV 26506-1200
(304) 598-4000
Mailing address
994 CHESTNUT RIDGE RD, APARTMENT 305, MORGANTOWN, WV 26505-0659
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
83741
WV
Other
Enumeration date
10/12/2016
Last updated
10/12/2016
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