Individual
MAUREEN DAVIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3100 MACCORKLE AVE, CHARLESTON, WV 25304-1223
(304) 388-9948
Mailing address
3100 MACCORKLE AVE, CHARLESTON, WV 25304-1223
(304) 388-9948
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/15/2020
Last updated
04/27/2021
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