Individual
MOYATU MOSERAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3517 PINEY WOODS PL, LAUREL, MD 20724-5985
(703) 520-4168
Mailing address
3517 PINEY WOODS PL, LAUREL, MD 20724-5985
(703) 520-4168
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
2635
VA
183700000X
Pharmacy Technician
T24185
MD
Other
Enumeration date
02/12/2021
Last updated
02/12/2021
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