Individual
MRS. SANDRA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
130 PRESERVE DR, ROYAL PALM BEACH, FL 33411-1569
(561) 333-7660
Mailing address
130 PRESERVE DR, ROYAL PALM BEACH, FL 33411-1569
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5145582
FL
Other
Enumeration date
03/24/2007
Last updated
07/08/2007
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