Individual
LATASHA D MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1609 CITY PARK AVE APT 7, PORTSMOUTH, VA 23701-2252
(757) 609-1359
Mailing address
1609 CITY PARK AVE APT 7, PORTSMOUTH, VA 23701-2252
(757) 609-1359
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
06/22/2022
Last updated
06/22/2022
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