Individual provider · Type 1 NPI

Diamond Charlotte Moebus

Student in an Organized Health Care Education/Training Program · Eureka, CA

NPI number 1710258553 Active

Practice location

2413 2nd St
Eureka, CA 95501-0811

Call (707) 269-9590 Map

Mailing address

PO Box 3045
Eureka, CA 95502-3045

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1710258553

Diamond Charlotte Moebus's National Provider Identifier is 1710258553, issued on Jan 25, 2012. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Eureka, CA. The record was last updated on Jan 25, 2012.