Individual
MRS. KIMBERLIE MICHELE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.M.S.
Contact information
Practice address
1418 N GRANT AVE, ODESSA, TX 79761-2642
(432) 333-5100
Mailing address
1418 N GRANT AVE, ODESSA, TX 79761-2642
(432) 333-5100
Taxonomy
Speciality
Code
Description
License number
State
2471S1302X
Sonography Radiologic Technologist
Primary
35049
TX
Other
Enumeration date
10/24/2006
Last updated
07/21/2022
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