Individual
MELISSA AVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
159 HILLCREST HAVEN DR, HOLDEN, WV 25625
(304) 688-9193
Mailing address
PO BOX 123, HOLDEN, WV 25625-0123
(304) 688-9193
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/19/2021
Last updated
03/19/2021
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