Individual
MISS CHARLOTTE LEANNE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7703 FLOYD CURL DR # MC7792, SAN ANTONIO, TX 78229-3901
(210) 567-5440
Mailing address
1632 STONE ST, SAGINAW, MI 48602
(989) 746-7504
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
BP10084910
TX
Other
Enumeration date
08/16/2021
Last updated
01/18/2024
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