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Individual
ROLLANDA FAYETTE MOORE
Active
Individual
ROLLANDA FAYETTE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT,DPT,RN,BSN,MHA
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
507594
OH
163W00000X
Registered Nurse
9606549
FL
225100000X
Physical Therapist
Primary
016715
OH
225100000X
Physical Therapist
20357
FL
Other
Enumeration date
01/05/2007
Last updated
09/17/2024
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