Individual
LAQUISHA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14299 REFRESHING GARDEN LN, FISHERS, IN 46038-5937
(317) 809-7713
Mailing address
14299 REFRESHING GARDEN LN, FISHERS, IN 46038-5937
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28204920A
IN
Other
Enumeration date
08/23/2023
Last updated
08/23/2023
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