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Latasha Christine Moon, CRANIALPROSTHESIS
Specialist in Redding, California
NPI 1710577168

Latasha Christine Moon is a Specialist based in Elk Grove, CA. Latasha Christine Moon practices in Redding, CA and has the professional credentials of CRANIALPROSTHESIS. The NPI Number for Latasha Christine Moon is 1710577168 and holds a License No. (California).

The current practice location address for Latasha Christine Moon is 1267 Willis St # 200, Redding, CA and can be reached out via phone at 916-365-2013.

Location: 1267 Willis St # 200, Redding, CA, 95757-6282
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710577168
Provider Name
Latasha Christine Moon
Credential
CRANIALPROSTHESIS
Provider Entity Type
Individual
Gender
Female
Address
1267 Willis St # 200, Redding, CA, 95757-6282
Phone Number
916-365-2013
Fax Number
Provider Enumeration Date
01/20/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1267 Willis St # 200
City
Redding
State
California
Zip
96001-0400
Phone Number
916-365-2013
Fax Number
person
Provider Business Mailing Address Details
Address
1267 Willis St # 200
City
Redding
State
California
Zip
96001-0400
Phone Number
916-365-2013
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
(California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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