Individual
PORSHEA LINNETTE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRPA
Contact information
Practice address
1062 STATE ROUTE 38, OWEGO, NY 13827-3209
(607) 687-4000
Mailing address
1062 STATE ROUTE 38, OWEGO, NY 13827-3209
(607) 687-4000
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
4439
NY
Other
Enumeration date
04/15/2020
Last updated
04/15/2020
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