Individual
AMBER NICOLE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4634 W NORTHGATE DR # 240, IRVING, TX 75062-2404
(318) 512-2696
Mailing address
4634 W NORTHGATE DR # 240, IRVING, TX 75062-2404
(318) 512-2696
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/09/2009
Last updated
09/09/2009
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