Individual
BRIAN LUTHER MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11534 LOCKWOOD DR APT B2, SILVER SPRING, MD 20904-2422
(202) 852-2047
Mailing address
11534 LOCKWOOD DR APT B2, SILVER SPRING, MD 20904-2422
(202) 852-2047
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
MD
372600000X
Adult Companion
—
MD
Other
Enumeration date
06/06/2024
Last updated
06/06/2024
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