TIFFANY GRAY MOON

PLYMOUTH, NC
NPI1467971325
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LW0102X Nurse Practitioner, Women's Health
(Licence: NC  5009694)
Enumeration Date2017-09-12
Last Update Date2020-05-11
Business Address
TIFFANY GRAY MOON WHNP-BC
198 NC HIGHWAY 45 N
PLYMOUTH, NC 27962-9232
Phone number: 252-791-3119
Mailing Address
TIFFANY GRAY MOON WHNP-BC
201 LEIGH ST
EDENTON, NC 27932-1657
Phone number: 252-562-4410
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