Individual
BRANDY SKYE MALLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19 MAIN ST, ELKINS, WV 26241-3125
(304) 591-1834
Mailing address
PO BOX 1731, ELKINS, WV 26241-1731
(304) 591-1834
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
04/20/2021
Last updated
04/20/2021
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