Individual
MARLENE B MOWERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1306 KANAWHA BLVD E, CHARLESTON, WV 25301-3001
(304) 343-4371
(304) 343-0215
Mailing address
1650 WOODVALE DR, CHARLESTON, WV 25314-2547
(304) 343-4371
(304) 343-0215
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
WV8200D
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0149311000
—
WV
Enumeration date
06/08/2006
Last updated
11/04/2017
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