Individual
MRS. JAMY MOSGRAVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1234 HORNER CHURCH RD, STOYSTOWN, PA 15563-8063
(814) 521-0276
Mailing address
1234 HORNER CHURCH RD, STOYSTOWN, PA 15563-8063
(814) 521-0276
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH068851
PA
Other
Enumeration date
07/29/2021
Last updated
08/04/2021
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