Individual
MS. ANITA MARIE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
151 W ATTWOOD AVE APT 105, FLORENCE, SC 29505-3460
(843) 731-8662
Mailing address
1604 GREGG AVE, FLORENCE, SC 29501-4118
(843) 731-8662
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
138519
SC
Other
Enumeration date
04/19/2025
Last updated
04/19/2025
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