Eddie Moua

NPI #1477371409 in Columbia Heights, Minnesota

Provider Information

NPI Number: 1477371409
Entity Type: Individual
Name: Eddie Moua
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Driver
Enumeration Date: Sep 30, 2024
Last Updated: Sep 30, 2024

Practice Location

Address: 2301 N UPLAND CRST
City: Columbia Heights
State: Minnesota
ZIP Code: 55421-2036
Phone: (559) 362-8813

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Driver	172A00000X	Primary

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