Individual
MR. THOMAS FRANCIS MOQUIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
33316 HILLCREST DR, SCAPPOOSE, OR 97056-4318
(503) 970-6426
Mailing address
207 RAINBOW DR, PMB 10707, LIVINGSTON, TX 77399-2007
(503) 970-6426
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
200060013CRNA
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04188
—
OR
05
—
430067146
—
FL
Enumeration date
07/18/2005
Last updated
07/08/2007
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