KERI LEIGH MOON

TEMPLE, TX
NPI1982079315
Former NameKERI LEIGH STUMP
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: TX  PA10170)
Enumeration Date2015-12-10
Last Update Date2021-11-24
Business Address
KERI LEIGH MOON PA
1605 S 31ST ST
TEMPLE, TX 76508-3483
Phone number: 254-215-0100
Mailing Address
KERI LEIGH MOON PA
PO BOX 844658
DALLAS, TX 75284-4658
Phone number: 254-724-2111