Individual
JENNIFER DENISE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
500 N CHURCH ST, LAS CRUCES, NM 88001-3440
(575) 318-2035
(505) 230-5420
Mailing address
500 N CHURCH ST, LAS CRUCES, NM 88001-3440
(575) 318-2035
(505) 230-5420
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
08/15/2025
Last updated
08/15/2025
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