Individual
MRS. CIARA LYNNE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
10721 GRUB HILL CHURCH RD, AMELIA COURT HOUSE, VA 23002-4934
(804) 921-5655
Mailing address
10721 GRUB HILL CHURCH RD, AMELIA COURT HOUSE, VA 23002-4934
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0024190602
VA
Other
Enumeration date
07/23/2024
Last updated
07/31/2024
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