Organization
DR. MOMA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SYLVIENASH MOMA FNP (OWNER)
(719) 646-9834
Entity
Organization
Contact information
Practice address
411 LAKEWOOD CIR STE B114, COLORADO SPRINGS, CO 80910-4629
(719) 597-4768
(719) 591-2309
Mailing address
411 LAKEWOOD CIR STE B114, COLORADO SPRINGS, CO 80910-4629
(719) 597-4768
(719) 591-2309
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/31/2020
Last updated
08/03/2020
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