Most Relevant Information
Provider Data
| NPI Number: | 1003428491 |
| Provider Name: | CINDY DEMOTTO |
| Entity Type: | Individual |
| Taxonomy Code: | 3747P1801X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/18/2020 |
| Last Updated: | 06/28/2021 |
Provider Practice Location
2324 STALNAKER RUN RD
ELKINS
WV
262415184
Practice Location Phone/Fax
| Phone: | 3046369396 |
| Fax: |
Provider Mailing Location
2324 STALNAKER RUN RD
ELKINS
WV
262415184
Provider Mailing Phone/Fax
| Phone: | 3046369396 |
| Fax: |