Individual
LATRESE ANDERSON-MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4175 W 20TH AVE, HIALEAH, FL 33012-5874
(305) 825-0300
Mailing address
1600 NW 125TH ST, NORTH MIAMI, FL 33167-2345
(305) 904-7911
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/12/2012
Last updated
04/12/2012
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