Individual
SAMANTHA JO MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
115 5TH ST SE, ORANGE CITY, IA 51041-1906
(712) 441-2257
Mailing address
115 5TH ST SE, ORANGE CITY, IA 51041-1906
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/06/2022
Last updated
06/06/2022
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