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MRS. D'METRIC MAUDELL MOSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
881 USS JAMES MADISON RAOD, NAVAL SUBMARINE BASE, KINGS BAY, GA 31547
(904) 542-7811
Mailing address
1397 NEW PETERSBURG RD, LINCOLNTON, GA 30817-4041
(706) 359-5741

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
WA

Other

Enumeration date
09/15/2010
Last updated
09/23/2010
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