Individual
ANGELA RENEE MOQUIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
2225 N MCCARRAN BLVD, SPARKS, NV 89431-3365
(775) 359-1199
(775) 359-1195
Mailing address
2225 N MCCARRAN BLVD, SPARKS, NV 89431-3365
(775) 359-1199
(775) 359-1195
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2359
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2359
P.T. LICENSE
NV
Enumeration date
03/15/2010
Last updated
03/15/2010
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