Individual
JESSICA L MCCALLISTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1007 MOUND AVE, SOUTH CHARLESTON, WV 25309-1711
(304) 541-0684
Mailing address
1007 MOUND AVE, SOUTH CHARLESTON, WV 25309-1711
(304) 541-0684
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
06/19/2022
Last updated
06/19/2022
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