Individual
TRESTON MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2175 STOCKWELL RD APT 417, BOSSIER CITY, LA 71111
(318) 208-0388
Mailing address
2175 STOCKWELL RD APT 417, BOSSIER CITY, LA 71111-5776
(318) 208-0388
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
06/27/2017
Last updated
07/21/2022
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