Individual
MS. HEATHER EMILY MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
148 WARREN ST, LOWELL, MA 01852
(978) 452-1736
(978) 452-6625
Mailing address
1 LANCELOT COURT, UNIT 4, SALEM, NH 03079
(603) 401-5705
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/18/2006
Last updated
07/08/2007
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