Individual
ALISON RAE MOSES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1717 UNIVERSITY DR S, FARGO, ND 58103-4939
(701) 234-2119
Mailing address
PO BOX 2168, FARGO, ND 58107-2168
(701) 234-2119
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
721
ND
Other
Enumeration date
10/19/2011
Last updated
09/10/2015
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