Individual
HEATHER ANNE MOFFITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
19419 SCROLL ST, RESEDA, CA 91335-3739
(818) 642-2143
Mailing address
14445 OLIVE VIEW DR, SYLMAR, CA 91342-1437
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
RN95023482
CA
Other
Enumeration date
05/05/2023
Last updated
05/05/2023
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