Individual
MRS. BETTY MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
2875 DEVONSHIRE DR, FLORISSANT, MO 63033
(314) 299-2360
Mailing address
2875 DEVONSHIRE DR, FLORISSANT, MO 63033-1317
(314) 299-2360
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
2014032718
MO
Other
Enumeration date
09/06/2017
Last updated
07/21/2022
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