Individual
LATOYA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2000 HAMPTON ST, COLUMBIA, SC 29204-1002
(803) 922-5755
Mailing address
28 ABERDEEN WAY, ELGIN, SC 29045-8321
(910) 733-3785
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
246651
SC
Other
Enumeration date
01/06/2023
Last updated
01/06/2023
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