Individual
MRS. KAREN MOFFATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
105 MAPLEWOOD DR, FAIRMONT, WV 26554-2147
(304) 366-8779
Mailing address
105 MAPLEWOOD DR, FAIRMONT, WV 26554-2147
(304) 366-8779
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
3747P1801X
Personal Care Attendant
—
WV
Other
Enumeration date
11/22/2020
Last updated
11/22/2020
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