Individual
MARILYN MOAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2513 SUN SEEKER CT, LEXINGTON, KY 40503-2980
(859) 523-4442
Mailing address
2513 SUN SEEKER CT, LEXINGTON, KY 40503-2980
(859) 523-4442
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
753250
CA
163WG0100X
Gastroenterology Registered Nurse
1124028
KY
Other
Enumeration date
02/07/2013
Last updated
02/07/2013
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