AUTUMN MAZZELLA

CHARLESTON, WV
NPI1891593760
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: WV  39889)
Enumeration Date2025-03-05
Last Update Date2025-03-05
Business Address
AUTUMN MAZZELLA
900 VIRGINIA ST E STE 400
CHARLESTON, WV 25301-2835
Phone number: 681-313-4759
Mailing Address
AUTUMN MAZZELLA
3836 SLEEPY HOLLOW DR
HURRICANE, WV 25526-9148
Phone number: 304-619-9489