Individual
JESSICA DAWN MALLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
909 GORMAN AVE, ELKINS, WV 26241-4109
(304) 591-3508
Mailing address
28 DOWELL ST, ELKINS, WV 26241-3569
(304) 591-3508
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
74838
WV
Other
Enumeration date
04/27/2022
Last updated
04/27/2022
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