Individual
TAYLOR MOSKOWITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CHW-C
Contact information
Practice address
1375 E 10TH ST STE B, ROLLA, MO 65401-3591
(573) 364-9616
Mailing address
1375 E 10TH ST STE B, ROLLA, MO 65401-3591
(573) 364-9616
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
17069
MO
183700000X
Pharmacy Technician
2016009919
MO
Other
Enumeration date
01/24/2024
Last updated
01/24/2024
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