Individual
MITCHELL MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
424 SAVANNAH RD, LEWES, DE 19958-1462
(302) 645-3300
Mailing address
267 PINE VALLEY RD, DOVER, DE 19904-7110
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
L6-0A10864
DE
Other
Enumeration date
10/25/2021
Last updated
10/25/2021
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