Individual
MAMIE MARCUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
543 CAMP BRANCH ROAD, WEBBVILLE, KY 41180
(304) 429-6741
Mailing address
543 CAMP BRANCH ROAD, WEBBVILLE, KY 41180
(304) 429-6741
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
10/23/2019
Last updated
10/23/2019
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