Organization
DIRECT WORKFORCE HEALTH CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA MILLER (OWNER)
(814) 299-7637
Entity
Organization
Contact information
Practice address
3456 WATSON HWY STE 200, DU BOIS, PA 15801-5460
(814) 299-7637
Mailing address
3456 WATSON HWY STE 200, DU BOIS, PA 15801-5460
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1699289330
—
PA
Enumeration date
04/07/2022
Last updated
04/07/2022
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