LEDONNA DENYSE MOOSE

PHOENIX, AZ
NPI1740348820
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163WG0100X Registered Nurse, Gastroenterology
(Licence: OR  098000589RN)
Enumeration Date2006-12-04
Last Update Date2007-07-08
Business Address
-- LEDONNA DENYSE MOOSE BSN, RN
4212 N 16TH ST
PHOENIX, AZ 85016-5319
Phone number: 602-263-1511
Mailing Address
-- LEDONNA DENYSE MOOSE BSN, RN
PO BOX 31001-0698
PASADENA, CA 91110-0698
Phone number: 602-263-1551