Individual
MIKAYLA DANIELLE MOSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
13020 U.S. HIGHWAY12, OROFINO, ID 83544-8354
(208) 476-0110
Mailing address
12317 INDIO AVE, OROFINO, ID 83544-9351
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P8395
ID
Other
Enumeration date
06/24/2019
Last updated
06/24/2019
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