Individual
MRS. TINA ALLYN MOSER
Active
Individual
MRS. TINA ALLYN MOSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT/L
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
009429-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009429-1
LINCENSE #
NY
Enumeration date
11/08/2010
Last updated
11/08/2010
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