Individual
MINDY MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE'S AIDE
Contact information
Practice address
800 SOUTHWIND BLVD LOT 40, ROBINSON, IL 62454-3641
(606) 541-2976
Mailing address
800 SOUTHWIND BLVD LOT 40, ROBINSON, IL 62454-3641
(606) 541-2976
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
1106100
IL
Other
Enumeration date
05/14/2025
Last updated
05/14/2025
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