Individual
DIANE MOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.T.
Contact information
Practice address
40 PINETREE CIR, BAILEY, CO 80421-2093
(303) 816-1945
Mailing address
40 PINETREE CIR, BAILEY, CO 80421-2093
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
02/05/2007
Last updated
07/08/2007
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