Individual
MR. CARLOS URIAH MOFFETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RKT
Contact information
Practice address
1201 BROAD ROCK BLVD, RICHMOND, VA 23249-0001
(804) 675-5000
Mailing address
4721 LAKEFIELD MEWS PL APT A, RICHMOND, VA 23231-4162
(804) 675-5000
Taxonomy
Speciality
Code
Description
License number
State
226300000X
Kinesiotherapist
Primary
—
—
Other
Enumeration date
05/31/2011
Last updated
05/31/2011
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