Individual
MAXINE ANDERSON MOFFETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3471 W MESQUITE AVE, PAHRUMP, NV 89060-3553
(775) 751-1099
Mailing address
3471 W MESQUITE AVE, PAHRUMP, NV 89060-3553
(775) 751-1099
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
03/06/2012
Last updated
03/06/2012
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