Individual
MADISAN A DEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5385 LONGWOOD RD, HUNTINGTON, WV 25705-2014
(304) 525-5151
(304) 697-8556
Mailing address
540 5TH AVE, HUNTINGTON, WV 25701-1908
(304) 697-0022
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
10/13/2023
Last updated
10/13/2023
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