Individual
BIANCA MICHELLE MOSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
710 LAWRENCE EXPY, SANTA CLARA, CA 95051-5173
(408) 236-4921
Mailing address
677 CHURCH ST NE, MARIETTA, GA 30060-1101
(770) 793-5913
(770) 999-2445
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
83166
GA
207V00000X
Obstetrics & Gynecology Physician
A145573
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2015
Last updated
10/27/2021
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