Individual
LISA MICHELLE GITTHENS MOSES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RRT
Contact information
Practice address
1721 W YOSEMITE AVE, MANTECA, CA 95337-5130
(209) 824-5086
Mailing address
836 SUNRISE AVE, RIPON, CA 95366-2049
(209) 531-5602
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
29502
CA
Other
Enumeration date
12/07/2018
Last updated
01/03/2022
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