Individual
LOLITA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6991 E CAMELBACK RD STE D300, SCOTTSDALE, AZ 85251-2492
(310) 634-2590
Mailing address
3527 E ARABIAN DR, GILBERT, AZ 85296-0647
(310) 634-2590
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
654769
CA
163WI0500X
Infusion Therapy Registered Nurse
Primary
275999
AZ
Other
Enumeration date
02/28/2023
Last updated
02/28/2023
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