Individual
JAMIE VICTORIA MUCCIOLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 MEDICAL CENTER DR, MORGANTOWN, WV 26506-1200
(855) 988-2273
Mailing address
PO BOX 780, MORGANTOWN, WV 26507-0780
(681) 342-2133
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
RT007272
PA
363A00000X
Physician Assistant
Primary
2935
WV
Other
Enumeration date
03/29/2018
Last updated
09/30/2024
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