Most Relevant Information
Provider Data
| NPI Number: | 1003177585 |
| Provider Name: | MABLE WETMORE |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 1071661 |
Most Important Dates
| Enumeration Date: | 05/31/2012 |
| Last Updated: | 05/31/2012 |
Provider Practice Location
115 ROCKWOOD LN
HAZARD
KY
417019415
Practice Location Phone/Fax
| Phone: | 6064365761 |
| Fax: |
Provider Mailing Location
115 ROCKWOOD LN
HAZARD
KY
417019415
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |