Individual
BETTY R MOFFITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NA
Contact information
Practice address
131 S WEBB AVE, TN DEPT OF HEALTH, CROSSVILLE, TN 38555-8452
(931) 484-6196
Mailing address
155 SOUTHRIDGE CIR, CROSSVILLE, TN 38555-5014
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
02/22/2007
Last updated
07/08/2007
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