Koleton Michael Moon

NPI #1033690201 in Manti, Utah

Provider Information

NPI Number
1033690201
Entity Type
Individual
Name
Koleton Michael Moon
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Community Health Worker
Enumeration Date
Aug 27, 2018
Last Updated
Aug 27, 2018

Practice Location

Address
920 N. 000 W.
City
Manti
State
Utah
ZIP Code
84642
Phone
(435) 835-4316

Specialties & Taxonomy Codes

Specialty
Community Health Worker

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