Theresa Moon

NPI #1184939019 in Rustburg, Virginia

Provider Information

NPI Number
1184939019
Entity Type
Organization
Organization Name
Theresa Moon
Primary Specialty
Case Management
Enumeration Date
Aug 16, 2010
Last Updated
Aug 16, 2010

Practice Location

Address
565 LYNBROOK RD
ZIP Code
24588-3574
Phone
(434) 821-2114

Authorized Official

Name
MRS. THERESA G. MOON
Title
SERVICE FACILITATOR
Phone
(434) 821-2114

Specialties & Taxonomy Codes

Specialty
Case Management

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