Sandra Moon

NPI #1649893322 in Forney, Texas

Provider Information

NPI Number
1649893322
Entity Type
Individual
Name
Sandra Moon
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Licensed Practical Nurse
Enumeration Date
May 28, 2020
Last Updated
May 28, 2020

Practice Location

Address
2296 TORCH LAKE DR
City
Forney
State
Texas
ZIP Code
75126-0877
Phone
(413) 847-1561

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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