Individual
DOROTHY MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3548 BRYANT AVE S, MINNEAPOLIS, MN 55408-4119
(822) 612-8227
Mailing address
3548 BRYANT AVE S, MINNEAPOLIS, MN 55408-4119
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/06/2024
Last updated
08/06/2024
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