Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Latasha Christine Moon, CRANIALPROSTHESIS

Individual provider Specialist · NPI 1710577168

Latasha Christine Moon, CRANIALPROSTHESIS is a Specialist in Redding, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2021
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Practice location Address checks out

1267 Willis St # 200
Redding, CA 96001-0400
Phone: (916) 365-2013
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X (CA)

Record details

NPI number1710577168
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRANIALPROSTHESIS
Sole proprietorYes
NPI enumeratedJanuary 20, 2021
Last updated in NPPESJanuary 20, 2021
Certification dateJanuary 20, 2021

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