Individual
MRS. MALEA JOY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
4610 KANAWHA AVE SW, SW # 301, CHARLESTON, WV 25309-1367
(304) 720-8701
Mailing address
4610 KANAWHA AVE SW, SW # 301, CHARLESTON, WV 25309-1367
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN73008-FNP-BC
WV
Other
Enumeration date
12/04/2013
Last updated
12/04/2013
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