Individual
MR. RODNEY WAYNE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN BSN CPAN CAPA
Contact information
Practice address
1078 FONTAINE PL, SAINT LOUIS, MO 63137-1705
(404) 918-0461
(314) 868-6605
Mailing address
1078 FONTAINE PL., SAINT LOUIS, MO 63137
(404) 918-0461
(314) 868-6605
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
082489
MO
163WP2201X
Ambulatory Care Registered Nurse
RN084407
GA
163WP2201X
Ambulatory Care Registered Nurse
RN9272235
FL
Other
Enumeration date
09/09/2009
Last updated
09/09/2009
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