Astro Moonette Rich

NPI #1649729690 in Leesburg, Florida

Provider Information

NPI Number: 1649729690
Entity Type: Individual
Name: Astro Moonette Rich
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Community Health Worker
Enumeration Date: Sep 30, 2016
Last Updated: Sep 30, 2016

Practice Location

Address: 2204 BUTLER ST
City: Leesburg
State: Florida
ZIP Code: 34748-5504
Phone: (603) 562-9318

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X	Primary

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