Individual
MRS. SHARON E. MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
YOUREE DRIVE, SHREVEPORT, LA 75501
(318) 212-3500
Mailing address
PO BOX 1771, CEMETARY ROAD, KILDARE, TX 75562-1771
(903) 796-1019
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN097049
LA
Other
Enumeration date
01/24/2007
Last updated
07/08/2007
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