MRS. CRYSTAL MOON

Prosthetist

Active Individual
NPI: 1629535810

Practice Address

354 S DECATUR BLVD
Las Vegas, NV 89107

Phone: (702) 822-1177

Specialties

Specialty Code Primary License
Prosthetist 224P00000X Yes -

Frequently Asked Questions

NPI 1629535810 is the National Provider Identifier for MRS. CRYSTAL MOON, a Prosthetist provider located in Las Vegas, NV. This NPI was enumerated on February 25, 2019.
MRS. CRYSTAL MOON practices at 354 S DECATUR BLVD, Las Vegas, NV 89107.

Quick Facts

NPI
1629535810
Type
Individual
Enumerated
Feb 25, 2019
Last Updated
Feb 25, 2019

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