Individual
KIM MOSES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1322 LEVIS ST NE, WASHINGTON, DC 20002-2925
(202) 215-8332
Mailing address
1322 LEVIS ST NE, WASHINGTON, DC 20002-2925
(202) 215-8332
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN1006634
DC
Other
Enumeration date
02/23/2016
Last updated
02/23/2016
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