Individual
KATARA M MOFFETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
741 N 112TH ST, WAUWATOSA, WI 53226-3741
(414) 499-7873
Mailing address
2403 N 36TH ST, MILWAUKEE, WI 53210-3040
(414) 499-7873
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
04/13/2023
Last updated
04/19/2023
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