MRS. Jacqueline Anne Moheisen, RRT

NPI #1184065211 in Wickliffe, Ohio

Provider Information

NPI Number: 1184065211
Entity Type: Individual
Name: MRS. Jacqueline Anne Moheisen, RRT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Respiratory Therapist, Registered
Credential: RRT
Enumeration Date: Jul 17, 2013
Last Updated: Jul 17, 2013

Practice Location

Address: 29728 PHILLIPS AVE
City: Wickliffe
State: Ohio
ZIP Code: 44092-2212
Phone: (440) 585-2907

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Respiratory Therapist, Registered	227900000X	Primary
Respiratory Therapist, Registered - Critical Care — Critical Care	2279C0205X
Respiratory Therapist, Registered - General Care — General Care	2279G1100X

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