Individual
TALEAH MOOSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
18 SOUTH MAIN STREET, LOA, UT 84747
(435) 836-1316
(436) 836-1337
Mailing address
PO BOX 326, LOA, UT 84747-0326
(435) 836-1316
(435) 836-1337
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
8002271-3102
UT
Other
Enumeration date
10/24/2014
Last updated
10/24/2014
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