Individual
MORIAH LUALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
130 ESSEX ST, SOUTH HAMILTON, MA 01982-2325
(918) 397-4763
Mailing address
130 ESSEX ST, SOUTH HAMILTON, MA 01982-2325
(918) 397-4763
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
03/03/2025
Last updated
03/03/2025
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