Individual
MRS. JANET HAZEN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-A
Contact information
Practice address
2495 SHREVEPORT HWY, VA MEDICAL CENTER, PINEVILLE, LA 71360
(318) 473-0010
Mailing address
5512 AZALEA LN, ALEXANDRIA, LA 71302-2703
(318) 443-5719
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
4983
LA
Other
Enumeration date
06/05/2009
Last updated
06/05/2009
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