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Individual
ANGELA CHARLENE MOSS
Active
Individual
ANGELA CHARLENE MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN,BSN,QMHP
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
0001139794
VA
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
0001139794
VA
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
0001139794
VA
Other
Enumeration date
07/07/2014
Last updated
07/07/2014
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