Individual
NANCY MARIA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
209 ROCKY RUN RD, FREDERICKSBURG, VA 22406-5413
(540) 379-9176
Mailing address
209 ROCKY RUN RD, FREDERICKSBURG, VA 22406-5413
(540) 379-9176
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
03/28/2017
Last updated
03/28/2017
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