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Individual

MRS. PAULA MARIE MOORE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
REGISTERED NURSE

Contact information

Practice address
381 BERESFORD ROAD, ROCHESTER, NY 14610
(443) 852-1484
Mailing address
381 BERESFORD ROAD, ROCHESTER, NY 14610
(443) 852-1484

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
579569
NY
163WN0002X
Neonatal Intensive Care Registered Nurse
579569
NY
163WP0200X
Pediatric Registered Nurse
Primary
579569
NY

Other

Enumeration date
02/12/2008
Last updated
02/12/2008
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