Rich, Astro Moonette

Rich, Astro Moonette is an individual health care provider with primary practice located at 2204 Butler St , Leesburg FL 34748-5504. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Rich, Astro Moonette can be contacted via phone (603) 562-9318.

Contact Information

Primary practice address
2204 Butler St Leesburg FL 34748-5504
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1649729690
LBN Legal business name Rich, Astro Moonette
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2016
Last updated Sep 30th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers