Individual
MOEMI GOSSAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
844 OLD TUNNEL RD, GRASS VALLEY, CA 95945-8524
(530) 274-9762
Mailing address
2 KORET WAY, SAN FRANCISCO, CA 94143-2218
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
95021962
CA
Other
Enumeration date
08/05/2022
Last updated
08/05/2022
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