LAURA DIANE MOON

GREENWOOD, SC
NPI1003066259
Former NameLAURA DIANE STARCHER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: SC  26055)
Additional Taxonomies163W00000X Registered Nurse
(Licence: WV  55025)
367500000X Nurse Anesthetist, Certified Registered
(Licence: WV  79610)
Enumeration Date2008-09-24
Last Update Date2024-03-15
Business Address
LAURA DIANE MOON
1325 SPRING ST
GREENWOOD, SC 29646-3860
Phone number: 864-725-4111
Mailing Address
LAURA DIANE MOON
110 ROANE ST
CHARLESTON, WV 25302-2334
Phone number: 304-344-0096