Most Relevant Information
Provider Data
| NPI Number: | 1003412164 |
| Provider Name: | MELISSA ANN NESTOR |
| Entity Type: | Individual |
| Taxonomy Code: | 3747P1801X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/04/2020 |
| Last Updated: | 12/04/2020 |
Provider Practice Location
1119 GLADDEN ST
FAIRMONT
WV
265544737
Practice Location Phone/Fax
| Phone: | 3048166875 |
| Fax: |
Provider Mailing Location
1119 GLADDEN ST
FAIRMONT
WV
265544737
Provider Mailing Phone/Fax
| Phone: | 3048166875 |
| Fax: |