Individual
ABRAHIA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1333 W WASHINGTON ST, STEPHENVILLE, TX 76401-4168
(254) 968-9000
Mailing address
595 N CHARLOTTE AVE, STEPHENVILLE, TX 76401-2807
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/28/2017
Last updated
02/28/2017
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