Individual
TARNESHA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3403 HANCOCK BRIDGE PKWY STE 2, NORTH FORT MYERS, FL 33903-7056
(833) 777-3247
Mailing address
4517 DALMAHOY CT APT 105, FORT MYERS, FL 33916-8015
(239) 297-1308
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
01/08/2024
Last updated
01/08/2024
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