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Roxanne Marie Moss

Technician, Personal Care Attendant in Charleston, WV. Individual provider (NPI-1).

NPI number1548093263
StatusActive
Last updated in NPPESAug 20, 2024

Details

NPI
1548093263
Entity type
Individual (NPI-1)
Name
Roxanne Marie Moss
Sex
Female
Sole proprietor
No
Enumeration date
Aug 20, 2024
Certification date
Aug 20, 2024
Last updated
Aug 20, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3747P1801X Technician, Personal Care Attendant––Yes

Practice location

1412 Lyndale Dr
Charleston, WV 25314-2138

Phone 304-410-3803

Mailing address

1412 Lyndale Dr
Charleston, WV 25314-2138

Phone 304-410-3803

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