MRS. Crystal Moon

NPI #1629535810 in Las Vegas, Nevada

Provider Information

NPI Number
1629535810
Entity Type
Individual
Name
MRS. Crystal Moon
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Prosthetist
Enumeration Date
Feb 25, 2019
Last Updated
Feb 25, 2019

Practice Location

Address
354 S DECATUR BLVD
State
Nevada
ZIP Code
89107-2804
Phone
(702) 822-1177

Specialties & Taxonomy Codes

Specialty
Prosthetist

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