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Individual

BRITTANY MOOSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
343 FAIRVIEW DR STE 101, CARSON CITY, NV 89701-5389
(775) 887-5683
Mailing address
141 CATLIN ST, DAYTON, NV 89403-9798

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1114007101
NV
05
1427138338
NV
05
9005005382
NV
05
9005057011
NV
Enumeration date
02/27/2018
Last updated
02/27/2018
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