KITA RENEE MOONEYHAM

TEXARKANA, AR
NPI1699392068
Former NameKITA RENEE VAUGHN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: TX  213706)
Enumeration Date2020-07-01
Last Update Date2020-07-01
Business Address
KITA RENEE MOONEYHAM COTA
8733 BLACKMAN FERRY RD
TEXARKANA, AR 71854-0235
Phone number: 903-506-2000
Mailing Address
KITA RENEE MOONEYHAM COTA
8733 BLACKMAN FERRY RD
TEXARKANA, AR 71854-0235
Phone number:
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