Individual
TAVARES Z RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
301 SCOTT AVE, MORGANTOWN, WV 26508-8804
(304) 296-1731
Mailing address
7 1/2 PIETRO CT, MORGANTOWN, WV 26501-6053
(304) 627-4973
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
WV
Other
Enumeration date
05/01/2026
Last updated
05/01/2026
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