Individual
TAUSHONA LEE ANNA MOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
501 COMMUNITY SERVICES RD, HOOPA, CA 95546-9692
(707) 267-6442
Mailing address
PO BOX 1117, HOOPA, CA 95546-1117
(707) 267-6442
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
CA
Other
Enumeration date
11/19/2024
Last updated
11/19/2024
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