Individual
MS. KATRINA VERATTE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
215 LEGARE ST, LATTA, SC 29565-1824
(843) 752-7479
Mailing address
215 LEGARE ST, LATTA, SC 29565-1824
(843) 752-7479
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
101245
SC
Other
Enumeration date
06/30/2011
Last updated
06/30/2011
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