Alisea Rene McMillion
Homemaker in Charleston, WV. Individual provider (NPI-1).
NPI number1053013136
StatusActive
Last updated in NPPESMar 21, 2023
Details
- NPI
- 1053013136
- Entity type
- Individual (NPI-1)
- Name
- Alisea Rene McMillion
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 21, 2023
- Certification date
- Mar 21, 2023
- Last updated
- Mar 21, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 376J00000X | Homemaker | – | – | Yes |
Practice location
4510 Pennsylvania Ave Ste CCharleston, WV 25302-4835
Phone 304-965-9081 · Fax 304-471-2488
Mailing address
382 Pumpkin Ridge RdProcious, WV 25164-9456
Phone 304-812-4040
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Other Homemaker providers in Charleston, WV
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All 116 Homemaker providers in Charleston · All 9,831 providers in Charleston
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