Beanca Sada Moss, LPN

NPI #1326502105 in Manlius, New York

Provider Information

NPI Number
1326502105
Entity Type
Individual
Name
Beanca Sada Moss, LPN
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Credential
LPN
Enumeration Date
Jan 26, 2019
Last Updated
Jan 26, 2019

Practice Location

Address
128 W PLEASANT ST APT O2
ZIP Code
13104-1716
Phone
(315) 427-7543

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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