Individual
JINA MARIE MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1558 HAYES DR, MANHATTAN, KS 66502-5068
(785) 587-4333
(785) 587-4377
Mailing address
PO BOX 747, MANHATTAN, KS 66505-0747
(785) 587-4344
(785) 587-4377
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
13-98353-052
KS
Other
Enumeration date
07/09/2008
Last updated
07/09/2008
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