Individual
LAILA AZSE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4328 FARRAGUT ST STE 102, HYATTSVILLE, MD 20781-2032
(301) 266-5832
Mailing address
7029 EVERGREEN DR, WALDORF, MD 20601-3334
(301) 377-3435
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
—
MD
374J00000X
Doula
Primary
—
MD
Other
Enumeration date
07/13/2022
Last updated
07/13/2022
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