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Individual

TIFFANY J MOSELEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
2781 N 900TH ST, ANNAPOLIS, IL 62413-3117
(618) 554-5959
(959) 666-6204
Mailing address
2781 N 900TH ST, ANNAPOLIS, IL 62413-3117
(618) 554-5959
(959) 666-6204

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
09000452A
IN
367A00000X
Advanced Practice Midwife
Primary
209029056
IL

Other

Enumeration date
10/24/2023
Last updated
12/28/2023
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