Individual
VICTORIA MOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
540 5TH AVE, HUNTINGTON, WV 25701-1908
(304) 525-5151
Mailing address
540 5TH AVE, HUNTINGTON, WV 25701-1908
(304) 525-5151
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/24/2023
Last updated
04/24/2023
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