Individual
CONNIE MICHELLE TEZENO-MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2899 SUGARLOAF DR TRLR 181, LAKE CHARLES, LA 70607-7543
(337) 746-7829
Mailing address
2899 SUGARLOAF DR TRLR 181, LAKE CHARLES, LA 70607-7543
(337) 746-7829
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
OBHPSS1215
LA
Other
Enumeration date
01/07/2026
Last updated
01/07/2026
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