Individual
MS. PAULA CLINITA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
5801 BREMO RD, RICHMOND, VA 23226-1907
(804) 285-2011
Mailing address
700 EVERETT ST, #1206, RICHMOND, VA 23224-4195
(910) 538-8410
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126001744
VA
Other
Enumeration date
07/29/2013
Last updated
07/29/2013
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