Individual
KRISTINA MOFFETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2240 E WINROW AVE, RAYMOND W BLISS AHC, FORT HUACHUCA, AZ 85613-7079
(520) 678-8375
Mailing address
2240 E WINROW AVE, RAYMOND W BLISS AHC, FORT HUACHUCA, AZ 85613-7079
(520) 678-8375
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
653150
CA
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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