Individual
MR. ARCIA LARAY MOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RSA-C
Contact information
Practice address
485 TYLER CT, VERNON HILLS, IL 60061-1372
(847) 932-9680
Mailing address
485 TYLER CT, VERNON HILLS, IL 60061-1372
(847) 932-9680
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
238.000114
IL
Other
Enumeration date
06/09/2008
Last updated
06/09/2008
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