Individual
MARY ANN MOOSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
77 SOUTH 600 EAST, PRICE, UT 84501
(435) 637-4262
(435) 637-6465
Mailing address
PO BOX 867, 105 WEST 100 NORTH, PRICE, UT 84501
(435) 637-7200
(435) 637-2377
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
58044783101
UT
Other
Enumeration date
10/31/2007
Last updated
10/31/2007
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