Individual
MRS. SHEFANIE RAYCHEL MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2300 GREENWOOD RD, ATTN: RECOVERY AUDIT, SHREVEPORT, LA 71103
(318) 212-2695
(318) 212-2689
Mailing address
2300 GREENWOOD RD, ATTN: RECOVERY AUDIT, SHREVEPORT, LA 71103
(318) 212-2695
(318) 212-2689
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Enumeration date
07/16/2021
Last updated
08/12/2022
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