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Individual

TA'QUANA SHAREA MOYE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
155 WILSON AVE, WASHINGTON, PA 15301-3398
(724) 223-5000
Mailing address
218 KETCHUM DR, CANONSBURG, PA 15317-9731
(724) 413-1655

Taxonomy

Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN682976
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
147947
PA

Other

Enumeration date
10/30/2023
Last updated
12/27/2023
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