NPI 1629535810

Crystal Moon

Practitioner Prosthetist Las Vegas, NV

Practice location

Address: 354 S Decatur Blvd, Las Vegas, NV 89107-2804
Phone: (702) 822-1177

Registered specialties

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X

Other Prosthetist providers in Nevada →

Registry record

NPI: 1629535810
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Feb 2019
Record last updated: 25 Feb 2019

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.