Individual
MRS. BRANDI MICHELLE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
516 NORTH LIBERTY, RUSHVILLE, IL 62681
(217) 322-8569
Mailing address
516 N LIBERTY ST, RUSHVILLE, IL 62681
(217) 322-8569
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
10/25/2019
Last updated
10/25/2019
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