Latasha Christine Moon, CRANIAL PROSTHESIS
NPI #1710577168 in Redding, California
Provider Information
- NPI Number
- 1710577168
- Entity Type
- Individual
- Name
- Latasha Christine Moon, CRANIAL PROSTHESIS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist
- Credential
- CRANIAL PROSTHESIS
- Enumeration Date
- Jan 20, 2021
- Last Updated
- Jan 20, 2021
Practice Location
- Address
- 1267 WILLIS ST # 200
- City
- Redding
- State
- California
- ZIP Code
- 96001-0400
- Phone
- (916) 365-2013
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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