Search › Indiana › 172A00000X

Watoris Mosley, TRANSPORTER

NPI 1770399123 · on the registry since 2024

Practice

Address
8690 Broadway Ave
Ste A
Merrillville, IN 46410
Phone
(708) 679-4348

Registry record

Primary taxonomy
172A00000X
172A00000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-12-09

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 Indiana