Individual
KAYLEE ALEXIS MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9841 ST ROMAIN RD, BUECHE, LA 70729-2638
(225) 240-0547
Mailing address
9841 ST ROMAIN RD, BUECHE, LA 70729-2638
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/25/2024
Last updated
03/25/2024
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