Individual
MELISSA CAROL TABLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
41 NEW THOMAS DR, CHARLES TOWN, WV 25414-4822
(443) 404-3878
Mailing address
41 NEW THOMAS DR, CHARLES TOWN, WV 25414-4822
(443) 404-3878
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
NXD830
WV
Other
Enumeration date
04/12/2018
Last updated
04/12/2018
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