NPI 1063780484
Mary Tagish Moon
Practice location
- Address
- 1123 3rd St SW, Albuquerque, NM 87102-4134
- Phone
- (505) 238-9945
Registered specialties
Doula
Primary
Registry record
- NPI
- 1063780484
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 13 Dec 2011
- Record last updated
- 13 Dec 2011
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.