Individual
MS. TIFFANY MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8400 W CHARLESTON BLVD APT 208, LAS VEGAS, NV 89117-9034
(702) 624-7796
Mailing address
8400 WEST CHALESTON BLVD APT 208, LAS VEGAS, NV 89117
(702) 624-7796
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
2000418531
NV
Other
Enumeration date
05/04/2015
Last updated
05/04/2015
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