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Search › Utah › 235Z00000X

Andrea Moss

NPI 1720489107 · on the registry since 2014 · sole proprietor

Practice

Address
433 E 2700 S
Salt Lake City, UT 84115
Phone
(313) 671-4985
Organisation at this address
Eagles Soar Inc.
Beaver Valley Hospital
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Licence states on file
UT
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2017-02-08

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 Utah