Individual
MRS. ELLEN DENISE MOSES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASTECTOMY FITTER
Contact information
Practice address
2965 SCOTT PLANTATION DR S, MOBILE, AL 36695-9447
(740) 727-4833
Mailing address
2965 SCOTT PLANTATION DR S, MOBILE, AL 36695-9447
(740) 727-4833
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/19/2008
Last updated
01/04/2016
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