Individual
DEIDRA DEMOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6040 UNIVERSITY TOWN CENTRE DR, MORGANTOWN, WV 26501-2421
(855) 988-2273
Mailing address
2201 WHISPER CREEK DR, MORGANTOWN, WV 26508-1643
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
LAT-3856
NC
363A00000X
Physician Assistant
Primary
2765
WV
363A00000X
Physician Assistant
—
—
Other
Enumeration date
02/22/2019
Last updated
09/27/2024
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