Individual
ALVA L MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7726 KNUE RD, INDIANAPOLIS, IN 46250-2110
(317) 514-6362
Mailing address
7726 KNUE RD, INDIANAPOLIS, IN 46250-2110
(317) 514-6362
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
01/10/2025
Last updated
01/10/2025
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