Individual
MR. MARSHALL MOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10655 W STATE ROUTE 2 LOT 23, OAK HARBOR, OH 43449-9304
(567) 225-2928
Mailing address
3149 NAVARRE AVE APT 3C, OREGON, OH 43616-3359
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
139098
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
139098
PARAMEDIC
OH
Enumeration date
10/31/2022
Last updated
10/31/2022
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