Individual
MRS. AMANDA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N
Contact information
Practice address
1087 OLD COURTHOUSE RD, SALUDA, VA 23149-3068
(804) 832-6024
(804) 758-0573
Mailing address
1087 OLD COURTHOUSE RD, SALUDA, VA 23149-3068
(804) 832-6024
(804) 758-0573
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001200421
VA
Other
Enumeration date
06/21/2007
Last updated
07/08/2007
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