Individual
MS. EVETTE MARIE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7381 PRAIRIE FALCON RD, SUITE 110, LAS VEGAS, NV 89128-0811
(702) 646-5437
Mailing address
3680 N. RANCHO DRIVE, LAS VEGAS, NV 89130
(702) 646-5437
(702) 396-4193
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
05/20/2013
Last updated
07/05/2017
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