Individual
MALISSA WOOTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2948 MAIN HEWETT CREEK RD, LAKE, WV 25121-2106
(304) 946-0068
Mailing address
2948 MAIN HEWETT CREEK RD, LAKE, WV 25121-2106
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/06/2025
Last updated
06/06/2025
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