Individual
HAVALAH MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2608 ERWIN RD STE 200, DURHAM, NC 27705-4597
(919) 684-2471
(919) 681-1397
Mailing address
256 STILL PASTURE LN, GRAHAM, NC 27253-4281
(336) 549-7302
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L004882
NC
Other
Enumeration date
05/12/2025
Last updated
05/12/2025
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