Individual
DELLA SUE MOATS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
524 PIEDMONT AVE, GRAFTON, WV 26354-1636
(304) 672-7581
Mailing address
524 PIEDMONT AVE, GRAFTON, WV 26354-1636
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/15/2021
Last updated
03/15/2021
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