Individual
TASHALY L MOSES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1533 TECHNOLOGY DR STE 102, CHESAPEAKE, VA 23320-5963
(757) 770-2512
Mailing address
1533 TECHNOLOGY DR STE 102, CHESAPEAKE, VA 23320-5963
(757) 770-2512
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
3912
VA
Other
Enumeration date
05/05/2022
Last updated
05/05/2022
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