MARY LOUELLA MOSS

COLUMBIA, MO
NPI1174496889
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1744P3200X Specialist, Prosthetics Case Management
Enumeration Date2025-09-29
Last Update Date2025-09-29
Business Address
MARY LOUELLA MOSS
101 E FOREST AVE
COLUMBIA, MO 65203-4067
Phone number: 573-874-0785
Mailing Address
MARY LOUELLA MOSS
101 E FOREST AVE
COLUMBIA, MO 65203-4067
Phone number: 573-874-0785