Individual
KRSMA MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12701 N PENNSYLVANIA AVE APT 43N, OKLAHOMA CITY, OK 73120-9414
(405) 537-0667
Mailing address
12701 N PENNSYLVANIA AVE APT 43N, OKLAHOMA CITY, OK 73120-9414
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/01/2025
Last updated
09/01/2025
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