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Individual

RASHA IMAN MOORE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ADMIN, AFH

Taxonomy

Speciality
Code
Description
License number
State
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
0017514
WI
3747A0650X
Attendant Care Provider
0017514
WI

Other

Enumeration date
10/11/2020
Last updated
10/12/2020
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