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Search › West Virginia › 103TS0200X

Angela Mellace

NPI 1558790436 · on the registry since 2013 · sole proprietor

Practice

Address
212 North Court Street
Wayne, WV 25570
Phone
(304) 529-6205
Fax
(304) 529-6209
Organisation at this address
Wayne County Board Of Education
Wayne County Board Of Education
Wayne County Board Of Education
Wayne County Board Of Education
Wayne County Board Of Education
Inferred from a shared address, not stated in the registry.
Clinicians at this address
13

Registry record

Primary taxonomy
103TS0200X
103TS0200X
Licence states on file
WV
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2013-11-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in West Virginia