Individual
WHITNEY O MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1905 EMILY BLVD, WINTER HAVEN, FL 33884-0003
(863) 221-2666
Mailing address
1905 EMILY BLVD, WINTER HAVEN, FL 33884-0003
(863) 221-2666
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
05/17/2020
Last updated
05/17/2020
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