Individual
AUDREY MOSSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4733 W SUNSET BLVD FL 3, LOS ANGELES, CA 90027-6093
(206) 543-2100
Mailing address
4733 W SUNSET BLVD FL 3, LOS ANGELES, CA 90027-6093
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/08/2024
Last updated
03/25/2025
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