Individual
TINA MARIE MOFFETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA , CMA
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
162579
NE
Other
Enumeration date
02/20/2025
Last updated
02/20/2025
Update your record
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