Individual
GEORGE J MOUSSALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN,ACNP-BC,CCRN
Contact information
Practice address
400 W MINERAL KING AVE, VISALIA, CA 93291-6237
(559) 624-2000
Mailing address
PO BOX 728, VISALIA, CA 93279-0728
(602) 316-5944
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95001181
CA
Other
Enumeration date
10/30/2012
Last updated
06/01/2016
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