Individual
DEVERA MOORE CAMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2329 THE PLZ, CHARLOTTE, NC 28205-2403
(704) 577-7054
Mailing address
10500 STREATHAM LN, CHARLOTTE, NC 28262-9150
(704) 577-7054
(704) 503-9980
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
08/29/2020
Last updated
08/29/2020
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