Doctor Name: | DEBORAH R MOSS |
NPI Number: | 1992060008 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.N., O.T.S. |
License Number: | |
Business Practice Address: | 303 Potrero St #42-103 Santa Cruz, CA - 950602741 |
Business Phone Number: | 8314669307 |
Business Fax Number: | 8314669748 |
Mailing Address: | 303 Potrero St, #42-103 SANTA CRUZ |
State: | CA |
Postal Code: | 950602741 |
Phone Number: | 8314669307 |
Fax Number: | 8314669748 |
NPI Enumeration Date: | 07/05/2012 |
NPI Last Update Date: | 07/05/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |