Individual
DR. GIOVANNA MARIE MOSES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1221 PHOENIX ST, DELAVAN, WI 53115-2340
(262) 728-2667
(262) 728-3539
Mailing address
1221 PHOENIX ST, DELAVAN, WI 53115-2340
(262) 728-2667
(262) 728-3539
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2918-035
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38629100
—
WI
Enumeration date
05/06/2006
Last updated
02/26/2015
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