Individual
LATASHA CHRISTINE MOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRANIAL PROSTHESIS
Contact information
Practice address
1267 WILLIS ST # 200, REDDING, CA 96001-0400
(916) 365-2013
Mailing address
9821 PARTINGTON CIR, ELK GROVE, CA 95757-6282
(216) 798-4599
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
CA
Other
Enumeration date
01/20/2021
Last updated
01/20/2021
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