Individual
GRACE L MOYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2762 CENTURY BLVD, WYOMISSING, PA 19610-3345
(484) 220-2572
Mailing address
2762 CENTURY BLVD, WYOMISSING, PA 19610-3345
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN310882
PA
Other
Enumeration date
10/24/2019
Last updated
10/24/2019
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