Individual
STANDRIA A MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1501 TAYLOR OAKS CIRCLE 304, MONTGOMERY, AL 36116-8882
(334) 672-5901
Mailing address
1501 TAYLOR OAKS CIRCLE 304, MONTGOMERY, AL 36116-8882
(334) 672-5901
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1160401
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/27/2021
Last updated
06/26/2023
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