Individual
MRS. JANICE ANN MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
13609 ASPEN AVE, RIVERVIEW, FL 33569-9351
(813) 244-0360
Mailing address
13609 ASPEN AVE, RIVERVIEW, FL 33569-9351
(813) 244-0360
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
43047
FL
Other
Enumeration date
06/11/2007
Last updated
07/08/2007
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