Individual
KHALILAH CHRISHANA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4936 TRENT HILL DR, WINSTON SALEM, NC 27105-2253
(336) 707-9197
Mailing address
210 HARMON CREEK RD # 1013, KERNERSVILLE, NC 27284-8966
(336) 707-9197
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
12/06/2022
Last updated
12/06/2022
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