Individual
TYQUAYSHA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11925 VICTORY KNOLL CIR APT 301, LOUISVILLE, KY 40243-2971
(270) 498-9360
Mailing address
11925 VICTORY KNOLL CIR APT 301, LOUISVILLE, KY 40243-2971
(270) 498-9360
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/01/2022
Last updated
03/01/2022
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