Individual
MICHELLE WEBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1306 KANAWHA BLVD E, CHARLESTON, WV 25301-3001
(304) 982-8268
(304) 345-1801
Mailing address
1306 KANAWHA BLVD E, CHARLESTON, WV 25301-3001
(304) 982-8268
(304) 345-1801
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810025879
—
WV
Enumeration date
02/05/2014
Last updated
02/05/2014
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