Individual
ASTRO MOONETTE RICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2204 BUTLER ST, LEESBURG, FL 34748-5504
(603) 562-9318
Mailing address
2204 BUTLER ST, LEESBURG, FL 34748-5504
(603) 562-9318
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
09/30/2016
Last updated
09/30/2016
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