Individual
KATILYNNE MOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
214 COLLEGE PARK PLZ, JOHNSTOWN, PA 15904-2833
(814) 262-0025
Mailing address
213 MAPLE ST, SOUTH FORK, PA 15956-1207
(814) 475-5038
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN723115
PA
Other
Enumeration date
03/20/2021
Last updated
03/20/2021
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