Most Relevant Information
Provider Data
| NPI Number: | 1003426529 |
| Provider Name: | JESSICA LYNN SALMONS |
| Entity Type: | Individual |
| Taxonomy Code: | 3747P1801X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/10/2020 |
| Last Updated: | 06/24/2021 |
Provider Practice Location
428 MESSER HOLLOW
KERMIT
WV
25674
Practice Location Phone/Fax
| Phone: | 3049288970 |
| Fax: |
Provider Mailing Location
428 MESSER HOLLOW
KERMIT
WV
25674
Provider Mailing Phone/Fax
| Phone: | 3049288970 |
| Fax: |