Individual
MOESHA KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
402 E CRAIG ST, TALLULAH, LA 71282-3718
(318) 341-9166
Mailing address
402 E CRAIG ST, TALLULAH, LA 71282-3718
(318) 341-9166
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
10/11/2022
Last updated
10/11/2022
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