Individual
CAPRICE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
1319 S. SEVILLE, DESERET AT SEVILLE, WICHITA, KS 67209-2900
(316) 722-6916
Mailing address
4616 N HYDRAULIC ST, APT. 611, PARK CITY, KS 67219-2900
(316) 299-1347
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
176002
KS
Other
Enumeration date
01/14/2015
Last updated
01/15/2015
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