Individual
DR. MIRA NAOMI BYRD MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
11301 WILSHIRE BLVD, BLDG 500, MAIL CODE 19, LOS ANGELES, CA 90073-1003
(310) 478-3711
Mailing address
11301 WILSHIRE BLVD, BLDG 500, MAIL CODE 19, LOS ANGELES, CA 90073-1003
(310) 478-3711
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
61757
CA
Other
Enumeration date
03/30/2010
Last updated
03/30/2010
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