Individual
KATHEIRNE NORTH MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5103 PRINCETON ST, NORTH CHARLESTON, SC 29405-4152
(843) 338-5554
Mailing address
1390 MARKET ST STE 200, SAN FRANCISCO, CA 94102-5404
(800) 504-5360
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
205981
SC
Other
Enumeration date
10/27/2022
Last updated
10/27/2022
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