Individual
STEPHANIE MORELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
24 MOUNTAIN VIEW ST, PETERSBURG, WV 26847-1524
(304) 261-0356
Mailing address
24 MOUNTAIN VIEW ST, PETERSBURG, WV 26847-1524
(304) 261-0356
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2012-3011
WV
Other
Enumeration date
09/18/2024
Last updated
09/18/2024
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