Individual
DAMEKA MOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
122 1ST AVE STE 4, FAIRBANKS, AK 99701-4871
(907) 459-3800
Mailing address
122 1ST AVE STE 600, FAIRBANKS, AK 99701-4899
(907) 750-4080
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/29/2025
Last updated
07/29/2025
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