NPI 1679319750

Olivia Moffett

Practitioner Contractor Desoto, TX

Practice location

Address: 324 E Belt Line Rd STE 602, Desoto, TX 75115
Phone: (972) 597-7521

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X

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Registry record

NPI: 1679319750
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Jul 2024
Record last updated: 8 Jul 2024

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.