Individual
MAIA ZOE MOYER-HAZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
20 LANCASTER AVE, STRASBURG, PA 17579-1106
(717) 687-8141
Mailing address
20 LANCASTER AVE, STRASBURG, PA 17579-1106
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG002777
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033516010002
—
PA
Enumeration date
07/09/2013
Last updated
02/20/2018
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