Individual
MRS. PAMELA S. MOSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6109 JIMSON DR., GALLOWAY, OH 43119
(614) 870-2721
Mailing address
6109 JIMSON DR., GALLOWAY, OH 43119
(614) 870-2721
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2431185
—
OH
Enumeration date
05/01/2007
Last updated
07/09/2007
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