Individual
JEFFREY MOATS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
16110 EVERLY ROAD, HAGERSTOWN, MD 21740
(301) 714-0837
Mailing address
17854 VIRGINIA AVE, HAGERSTOWN, MD 21740-7255
(240) 452-2850
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP50803
MD
Other
Enumeration date
05/02/2017
Last updated
05/02/2017
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