Individual
ALICE C MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM
Contact information
Practice address
4907 LOVE RD, EL PASO, TX 79922-1723
(440) 935-0569
Mailing address
4907 LOVE RD, EL PASO, TX 79922-1723
(440) 935-0569
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
84100R
NM
Other
Enumeration date
04/05/2012
Last updated
04/05/2012
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