TISHA DAWN MALLOW

BUCKHANNON, WV
NPI1003410408
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy376J00000X Homemaker
Additional Taxonomies3747P1801X Technician, Personal Care Attendant
Enumeration Date2020-11-25
Last Update Date2023-10-02
Business Address
TISHA DAWN MALLOW
8 N SPRING ST
BUCKHANNON, WV 26201-2720
Phone number: 304-472-0395
Mailing Address
TISHA DAWN MALLOW
101 CABOOSE DRIVE
HARMAN, WV 26270
Phone number: 304-704-5479
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