Individual
LAKIESHA LASHA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
971 OAKMONT PL APT 2, MEMPHIS, TN 38107-3210
(901) 503-4036
Mailing address
6330 MAGNOLIA LAKES DR, OLIVE BRANCH, MS 38654-5196
(901) 503-4036
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
TN
Other
Enumeration date
02/17/2020
Last updated
02/17/2020
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