Individual
BRITTANY DIANE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 N 7TH ST, HASKELL, TX 79521-4410
(940) 207-1834
Mailing address
900 N 7TH ST, HASKELL, TX 79521-4410
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
350529
TX
Other
Enumeration date
10/15/2020
Last updated
10/15/2020
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