SCOTT G HAMELIN

KEYSER, WV
NPI1801846530
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171W00000X Contractor
(Licence: WV  1028)
Additional Taxonomies171W00000X Contractor
(Licence: MD  4890)
Enumeration Date2006-05-11
Last Update Date2007-07-08
Business Address
-- SCOTT G HAMELIN OT
RR 5 BOX 521
KEYSER, WV 26726-9016
Phone number: 304-726-4212
Mailing Address
-- SCOTT G HAMELIN OT
222 SPRUCE ST
WESTERNPORT, MD 21562-1130
Phone number: 240-362-1009