NPI 1508645664

Miranda Goff

Practitioner Driver Fairmont, WV

Practice location

Address: 14 E Grafton Rd STE C, Fairmont, WV 26554-4465
Phone: (304) 366-5832

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X

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Registry record

NPI: 1508645664
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Sep 2023
Record last updated: 17 May 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.