Organization
MOA FAMILY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA LIZETTE ANGAT (OWNER)
(702) 505-1208
Entity
Organization
Contact information
Practice address
6561 JENNY LAKE AVE, LAS VEGAS, NV 89110-4010
(702) 505-1208
Mailing address
6561 JENNY LAKE AVENUE, LAS VEGAS, NV 89110
(702) 505-1208
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
08/28/2012
Last updated
08/28/2012
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