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Raven Mosley

NPI 1033635917 · on the registry since 2017

Practice

Address
P.O Box 1062
Kelso, WA 98632
Phone
(360) 423-0203

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Also registered as
101YM0800X
101YM0800X
101YA0400X
Licence states on file
OR, WA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-05-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington