Individual
INDIA MARIE MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
565 COAL VALLEY RD, JEFFERSON HILLS, PA 15025-3703
(412) 901-2576
Mailing address
565 COAL VALLEY RD, JEFFERSON HILLS, PA 15025-3703
(412) 901-2576
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
89313
PA
Other
Enumeration date
10/24/2011
Last updated
10/04/2020
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