Individual
MRS. JENNIFER GRIFFIN MOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
110 NORTHWYND CIR STE B, LYNCHBURG, VA 24502-3451
(434) 515-1161
Mailing address
3209 WINDEMERE PL, LYNCHBURG, VA 24501-2431
(440) 479-2062
Taxonomy
Speciality
Code
Description
License number
State
246ZA2600X
Medical Art Specialist/Technologist
Primary
1237000017
VA
374700000X
Technician
1237000017
VA
Other
Enumeration date
05/01/2018
Last updated
01/09/2020
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