Alice Louise Moon is a student in an organized health care education training program in Oklahoma City, OK. The provider is 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. Alice Louise Moon NPI is 1962099887. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
2605 NW 11TH ST
OKLAHOMA CITY, OK
ZIP 73107-413
Phone: (405) 514-5253
The enumeration date for this NPI number is 12/26/2020 and was last updated on 12/26/2020.