Individual
DENITRA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
604 TRIPLE CROWN PKWY, LEXINGTON, KY 40508-2133
(270) 881-6580
Mailing address
604 TRIPLE CROWN PKWY, LEXINGTON, KY 40508-2133
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
09/11/2023
Last updated
09/11/2023
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