MICHELLE LEIGH ENDICOTT

SOUTH CHARLESTON, WV
NPI1699774315
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207N00000X Dermatology
(Licence: WV  2097)
Enumeration Date2005-07-14
Last Update Date2012-09-11
Business Address
MRS. MICHELLE LEIGH ENDICOTT DO
4815 KANAWHA AVE SW
SOUTH CHARLESTON, WV 25309-1207
Phone number: 304-768-4567
Mailing Address
MRS. MICHELLE LEIGH ENDICOTT DO
4815 KANAWHA AVE SW
SOUTH CHARLESTON, WV 25309-1207
Phone number: 304-768-4567