Individual
MARVIN WILLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
941 HAZELWOOD AVE, CHARLESTON, WV 25302-1335
(681) 439-1078
Mailing address
941 HAZELWOOD AVE, CHARLESTON, WV 25302-1335
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
03/25/2025
Last updated
03/25/2025
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