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Individual

NIKALE MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
831 MARLAY LN SW, POWDER SPRINGS, GA 30127-1121
(479) 431-9891
Mailing address
831 MARLAY LN SW, POWDER SPRINGS, GA 30127-1121
(147) 943-1989

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RN170837
GA

Other

Enumeration date
02/08/2024
Last updated
02/08/2024
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