Individual
ZONITA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
169 MCKNIGHT RD N APT 220, SAINT PAUL, MN 55119-6601
(612) 636-0763
Mailing address
169 MCKNIGHT RD N APT 220, SAINT PAUL, MN 55119-6601
(612) 636-0763
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
MN
Other
Enumeration date
09/24/2021
Last updated
09/24/2021
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