Individual
JOELLEN MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2111 MIDLANDS CT, SYCAMORE, IL 60178-3125
(815) 758-0000
Mailing address
2111 MIDLANDS CT, SYCAMORE, IL 60178-3125
(815) 758-0000
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
041192022
IL
Other
Enumeration date
11/12/2009
Last updated
11/12/2009
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