Individual
LEAH W MOORE X
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 S JUPITER RD APT 304, ALLEN, TX 75002-6001
(816) 812-8378
Mailing address
301 S JUPITER RD APT 304, ALLEN, TX 75002-6001
(816) 812-8378
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
23-46766091
KS
Other
Enumeration date
12/02/2020
Last updated
12/02/2020
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