Individual
LETRICIA LYNN MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
7400 BARLITE BLVD, SAN ANTONIO, TX 78224-1308
(210) 332-1350
(210) 507-4785
Mailing address
1120 CEDAR GROVE TRL, SPRING BRANCH, TX 78070-5303
(806) 939-3239
(210) 507-4785
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
563631
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
563631
NURSING LICENSE
TX
Enumeration date
06/05/2007
Last updated
01/06/2015
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