Individual
TAMMY S MOLLOHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
333 LAIDLEY ST, CHARLESTON, WV 25301-1614
(304) 347-4574
Mailing address
103 LOVELL DR, CHARLESTON, WV 25302-1522
(681) 264-1212
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
108910
WV
Other
Enumeration date
12/03/2025
Last updated
12/03/2025
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