| |
307 Howard St, Glenville, WV 26351-1170 | |
(304) 462-5366 | |
Not Available |
Full Name | |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 307 Howard St, Glenville, West Virginia |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285677013 | NPI | - | NPPES |
0150790000 | Medicaid | WV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 759-OD (West Virginia) | Primary |
Mailing Address | Practice Location Address |
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307 Howard St, Glenville, WV 26351-1170 Ph: (304) 462-5366 | 307 Howard St, Glenville, WV 26351-1170 Ph: (304) 462-5366 |
Dr. Malinda Lucky Flores, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 809 Mineral Rd, Glenville, WV 26351 Phone: 304-462-8314 |