Mary Tagish Moon

NPI #1063780484 in Albuquerque, New Mexico

Provider Information

NPI Number: 1063780484
Entity Type: Individual
Name: Mary Tagish Moon
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Doula
Enumeration Date: Dec 13, 2011
Last Updated: Dec 13, 2011

Practice Location

Address: 1123 3RD ST SW
City: Albuquerque
State: New Mexico
ZIP Code: 87102-4134
Phone: (505) 238-9945

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Doula	374J00000X	Primary

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