DONNA MOBERG

GULFPORT, MS
NPI1649829789
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: MS  318068)
Enumeration Date2019-09-11
Last Update Date2019-09-11
Business Address
DONNA MOBERG LPN
1600 BROAD AVE
GULFPORT, MS 39501-3603
Phone number: 228-861-1132
Mailing Address
DONNA MOBERG LPN
1600 BROAD AVE
GULFPORT, MS 39501-3603
Phone number: 228-861-1132