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Timothy Ray Hood

Technician, Attendant Care Provider in Lost Creek, WV. Individual provider (NPI-1).

NPI number1982305298
StatusActive
Last updated in NPPESMar 14, 2023

Details

NPI
1982305298
Entity type
Individual (NPI-1)
Name
Timothy Ray Hood
Sex
Male
Sole proprietor
Yes
Enumeration date
Mar 14, 2023
Certification date
Aug 17, 2022
Last updated
Mar 14, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3747A0650X Technician, Attendant Care Provider––Yes

Practice location

102 River Bend Rd
Lost Creek, WV 26385-7050

Phone 304-669-2338

Mailing address

102 River Bend Rd
Lost Creek, WV 26385-7050

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