Individual
MARIAH FRAGMIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7337 WV ROUTE #23 N, SALEM, WV 26426
(304) 641-4452
Mailing address
7337 WV ROUTE #23 N, SALEM, WV 26426
(304) 641-4452
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
09/14/2021
Last updated
09/14/2021
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