Individual
LOTTIE M MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6725 KINGSLAND CREEK DR, CHESTERFIELD, VA 23832-7866
(804) 519-4453
Mailing address
6725 KINGSLAND CREEK DR, CHESTERFIELD, VA 23832-7866
(804) 519-4453
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
11/01/2023
Last updated
11/01/2023
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