Provider Information for 1417573569
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Mrs. ELAINE LOIZOS-HOBDAY B.S.
Other Names:Professional Name:Mrs. ELAINE LOIZOS R.Ph.Sex: Female
NPI: 1417573569
Last Updated: 2024-04-16
Certification Date: 2024-04-16
Certification Date: 2024-04-16
Details
Name | Value | ||||||||||||||
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NPI | 1417573569 | ||||||||||||||
Enumeration Date | 2020-06-24 | ||||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||||
Sole Proprietor | YES | ||||||||||||||
Status | Active | ||||||||||||||
Mailing Address | 134 S QUEEN ST MARTINSBURG, WV 25401-3316 United States Phone: 304-267-8903 | Fax:304-267-9175 | ||||||||||||||
Primary Practice Address | 134 S QUEEN ST MARTINSBURG, WV 25401-3316 United States Phone: 304-267-8903 | Fax:304-267-9175 | ||||||||||||||
Secondary Practice Address(es) | 134 S QUEEN ST | ||||||||||||||
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