Most Relevant Information
Provider Data
| NPI Number: | 1003412537 |
| Provider Name: | NANCY MOZINGO |
| Entity Type: | Individual |
| Taxonomy Code: | 3747P1801X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/09/2020 |
| Last Updated: | 12/09/2020 |
Provider Practice Location
2000 MAIN ST STE 2002000
WHEELING
WV
260032829
Practice Location Phone/Fax
| Phone: | 3049059860 |
| Fax: |
Provider Mailing Location
2000 MAIN ST STE 2002000
WHEELING
WV
260032829
Provider Mailing Phone/Fax
| Phone: | 3049059860 |
| Fax: |