Individual
JESSICA FAE WOY GOULD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
RR 3 BOX 3267, KEYSER, WV 26726-9422
(304) 788-6462
(304) 788-6555
Mailing address
PO BOX 944, KEYSER, WV 26726-0944
(304) 788-6462
(304) 788-6555
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01035
WV
Other
Enumeration date
05/31/2006
Last updated
08/21/2012
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