Individual
MELISSA MOSES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
745 E CHURCH ST, BARTOW, FL 33830-4012
(863) 521-7542
Mailing address
745 E CHURCH ST, BARTOW, FL 33830-4012
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
03/29/2010
Last updated
03/29/2010
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