Individual
ANGELA MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 2ND ST STE 201, SUTTON, WV 26601-1303
(304) 765-3668
(304) 765-3697
Mailing address
103 S CHESTNUT ST, SUTTON, WV 26601-1669
(681) 208-1228
(304) 471-2488
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
06/13/2022
Last updated
06/13/2022
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