MS. Renee Marie Moss, CMT
NPI #1376871335 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1376871335
- Entity Type
- Individual
- Name
- MS. Renee Marie Moss, CMT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Community Health Worker
- Credential
- CMT
- Enumeration Date
- Dec 1, 2009
- Last Updated
- Dec 1, 2009
Practice Location
- Address
- 1420 E 17TH ST
- Address 2
- SUITE E
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83404-6283
- Phone
- (208) 243-2668
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Health Worker |
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