Individual
LEE ANDREW MOSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2504 CAMINO ENTRADA, SANTA FE, NM 87507-4851
(575) 471-5006
(877) 513-3441
Mailing address
PO BOX 4071, SANTA FE, NM 87502-4071
(520) 270-1175
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/26/2010
Last updated
07/26/2010
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