Individual
CANDICE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 N FRONT ST, OAK GROVE, LA 71263-7641
(318) 680-7697
Mailing address
10957 CORNERSTONE PL, KEITHVILLE, LA 71047-8587
(318) 680-7697
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
LA
Other
Enumeration date
04/04/2023
Last updated
04/04/2023
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