Andrew Moulton

NPI #1164043626 in North Chicago, Illinois

Provider Information

NPI Number: 1164043626
Entity Type: Individual
Name: Andrew Moulton
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: May 6, 2020
Last Updated: May 6, 2020

Practice Location

Address: 3333 GREEN BAY RD
City: North Chicago
State: Illinois
ZIP Code: 60064-3037
Phone: (360) 930-2912

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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