Individual
MS. SHAWANDA LASSETTTE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, BS, RN
Contact information
Practice address
10636 3RD ST N APT D, ST PETERSBURG, FL 33716-3291
(813) 573-9733
Mailing address
10636 3RD ST N APT D, ST PETERSBURG, FL 33716-3291
(813) 573-9733
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9312768
FL
Other
Enumeration date
07/10/2024
Last updated
07/10/2024
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