Individual
SARAH ELAINE MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10150 W NATIONAL AVE STE 390, WEST ALLIS, WI 53227-2145
(920) 427-9228
Mailing address
7275 N PORT WASHINGTON RD APT 813, GLENDALE, WI 53217-3342
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
WI
Other
Enumeration date
06/19/2019
Last updated
06/19/2019
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