Individual
ANITA MOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15469 STONE HOLLOW DR, HUNTERSVILLE, NC 28078-6151
(704) 737-0936
Mailing address
15469 STONE HOLLOW DR, HUNTERSVILLE, NC 28078-6151
(704) 737-0936
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
250318
NC
Other
Enumeration date
07/03/2020
Last updated
07/03/2020
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