Individual
DR. MELISSA K MOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
802 S 10TH ST STE C, LEESVILLE, LA 71446-4662
(337) 238-4189
Mailing address
802 S 10TH ST STE C, LEESVILLE, LA 71446-4662
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
023788
LA
Other
Enumeration date
08/29/2005
Last updated
10/03/2019
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