Individual
MELISSA JEAN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
RT 32 ESTON COOPER ROAD, DRYFORK, WV 26263
(304) 704-3367
Mailing address
PO BOX 208, DRYFORK, WV 26263-0208
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/23/2021
Last updated
03/23/2021
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