Individual
EMMA MCKENZIE MOODISPAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
STNA
Contact information
Practice address
17 EVANS HTS, GALLIPOLIS, OH 45631-1039
(740) 645-1952
Mailing address
17 EVANS HTS, GALLIPOLIS, OH 45631-1039
(740) 645-1952
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
12/26/2022
Last updated
12/26/2022
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