SearchWisconsin101YA0400X

Daron Mosby, CSAC

NPI 1336663640 · on the registry since 2017 · sole proprietor

Practice

Address
2643 N 55th St.
2643 N 55th St.
Milwaukee, WI 53210
Phone
(414) 690-3853

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-07-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin