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Individual

SHANDA MOORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
1 BRACE RD, SUITE C, CHERRY HILL, NJ 08034-2624
(856) 428-4100
(856) 428-5748
Mailing address
1 BRACE RD, SUITE C, CHERRY HILL, NJ 08034-2624
(856) 428-4100
(856) 428-5748

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00385400
NJ

Other

Enumeration date
07/05/2012
Last updated
05/20/2013
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