Most Relevant Information
Provider Data
NPI Number: | 1003538067 |
Provider Name: | DECEMBER HOFFMAN |
Entity Type: | Individual |
Taxonomy Code: | 3747A0650X |
Specialty: | Technician |
License Number: |
Most Important Dates
Enumeration Date: | 09/16/2022 |
Last Updated: | 09/16/2022 |
Provider Practice Location
410 31ST ST
HUNTINGTON
WV
257021420
Practice Location Phone/Fax
Phone: | 6818885852 |
Fax: |
Provider Mailing Location
410 31ST ST
HUNTINGTON
WV
257021420
Provider Mailing Phone/Fax
Phone: | |
Fax: |