Provider Demographics
NPI:1942070644
Name:MOSELY, RASHUNDA FRENCHELL
Entity Type:Individual
Prefix:MRS
First Name:RASHUNDA
Middle Name:FRENCHELL
Last Name:MOSELY
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:RASHUNDA
Other - Middle Name:FRENCHELL
Other - Last Name:FOUNTAIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3896 UNIVERSITY CENTER DR UNIT 3306
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89119-7509
Mailing Address - Country:US
Mailing Address - Phone:725-315-1174
Mailing Address - Fax:
Practice Address - Street 1:3896 UNIVERSITY CENTER DR UNIT 3306
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89119-7509
Practice Address - Country:US
Practice Address - Phone:725-315-1174
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-03
Last Update Date:2024-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health