ELYSIA MOON

Technician, Other

Active Individual
NPI: 1104456847

Practice Address

2400 E KATELLA AVE STE 800
Anaheim, CA 92806

Phone: (714) 858-3590

Specialties

Specialty Code Primary License
Technician, Other 247200000X Yes -

Frequently Asked Questions

NPI 1104456847 is the National Provider Identifier for ELYSIA MOON, a Technician, Other provider located in Anaheim, CA. This NPI was enumerated on January 22, 2020.
ELYSIA MOON practices at 2400 E KATELLA AVE STE 800, Anaheim, CA 92806.

Quick Facts

NPI
1104456847
Type
Individual
Enumerated
Jan 22, 2020
Last Updated
Jan 22, 2020

Nearby Providers