Individual
ANTOINETTE L MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3435 W CRAIG RD STE C, NORTH LAS VEGAS, NV 89032-5116
(702) 538-8814
Mailing address
737 PICASSO PICTURE CT, NORTH LAS VEGAS, NV 89081-3094
(650) 281-8782
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
$$$$$$$$$
PCA
NV
Enumeration date
02/11/2019
Last updated
02/11/2019
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