THERESA MELLETTE, D.O.

Family Medicine

Active Individual
NPI: 1922488956

Practice Address

1320 MAPLEWOOD AVE
Ronceverte, WV 24970

Phone: (304) 647-4411

Specialties

Specialty Code Primary License
Family Medicine 207Q00000X Yes 3100 (WV)

Frequently Asked Questions

NPI 1922488956 is the National Provider Identifier for THERESA MELLETTE, D.O., a Family Medicine provider located in Ronceverte, WV. This NPI was enumerated on June 4, 2015.
THERESA MELLETTE, D.O. practices at 1320 MAPLEWOOD AVE, Ronceverte, WV 24970.

Quick Facts

NPI
1922488956
Type
Individual
Enumerated
Jun 4, 2015
Last Updated
Jan 20, 2020

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