Individual
RUTH ANN MOSES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7030 S 110TH ST, OMAHA, NE 68128
(402) 320-0790
Mailing address
7030 S 110TH ST, OMAHA, NE 68128
(402) 320-0790
Taxonomy
Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
42923
NE
Other
Enumeration date
08/29/2018
Last updated
08/29/2018
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