Individual
HEATHER MOYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
73 EARNHARDT CIR, CABOT, AR 72023-5047
(501) 766-4167
Mailing address
73 EARNHARDT CIR, CABOT, AR 72023-5047
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
R087145
AR
Other
Enumeration date
06/02/2015
Last updated
06/02/2015
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