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Individual

AMBER LYNN MOODY LOPEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
660 RICH HOLLOW RD, LEWISBURG, WV 24901
(228) 547-5827
Mailing address
PO BOX 722, BECKLEY, WV 25802-0722
(228) 547-5827

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary

Other

Enumeration date
06/01/2023
Last updated
06/01/2023
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