Most Relevant Information
Provider Data
| NPI Number: | 1003412354 |
| Provider Name: | JOYCE L COFFMAN |
| Entity Type: | Individual |
| Taxonomy Code: | 372600000X |
| Specialty: | Adult Companion |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/10/2020 |
| Last Updated: | 12/10/2020 |
Provider Practice Location
1420 KANAWHA BLVD W
CHARLESTON
WV
253872537
Practice Location Phone/Fax
| Phone: | 3043443403 |
| Fax: | 3044140157 |
Provider Mailing Location
1420 KANAWHA BLVD W
CHARLESTON
WV
253872537
Provider Mailing Phone/Fax
| Phone: | 3043443403 |
| Fax: | 3044140157 |