Individual
IVANA A MOSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1430 W SHERMAN AVE STE 1, VINELAND, NJ 08360-6927
(856) 641-7875
Mailing address
200 DAVISTOWN RD, BLACKWOOD, NJ 08012-7600
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
40QB00401300
NJ
Other
Enumeration date
05/13/2024
Last updated
05/13/2024
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