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Individual

MS. TANYA DELORES MOORE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COUNSELOR

Contact information

Practice address
5002 RICKY ST, HOUSTON, TX 77033-4317
(832) 890-0988
(713) 734-7314
Mailing address
5002 RICKY ST, 5002 RICKY, HOUSTON, TX 77033-4317
(832) 890-0988
(713) 734-7314

Taxonomy

Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
TX

Other

Enumeration date
09/12/2007
Last updated
09/12/2007
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