Individual
MRS. DELEON MOSELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4648 CLARKS CREEK LN, ELLENWOOD, GA 30294-6577
(678) 914-2437
Mailing address
4648 CLARKS CREEK LN, ELLENWOOD, GA 30294-6577
(678) 914-2437
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
03/26/2018
Last updated
03/26/2018
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