Individual
TIA HOVATTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
321 KELLY RD, MORGANTOWN, WV 26508-3552
(304) 709-4255
Mailing address
321 KELLY RD, MORGANTOWN, WV 26508-3552
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
1103
WV
Other
Enumeration date
01/15/2021
Last updated
01/15/2021
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