Individual
MELISSA REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
900 VIRGINIA ST E STE 400, CHARLESTON, WV 25301-2835
(681) 313-4759
Mailing address
55 TOWNSHIP ROAD 341, PROCTORVILLE, OH 45669-9094
(304) 633-5566
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
183134
OH
164W00000X
Licensed Practical Nurse
Primary
31378
WV
Other
Enumeration date
02/28/2025
Last updated
02/28/2025
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