Individual
MS. LAURA LEE MOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5415 COUNTY ROAD 30, CANANDAIGUA, NY 14424-7964
(585) 394-1190
Mailing address
5415 COUNTY ROAD 30, CANANDAIGUA, NY 14424-7964
(585) 394-1190
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/11/2011
Last updated
01/11/2011
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