Individual
KECHIA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
800 N RAINBOW BLVD # 155, LAS VEGAS, NV 89107-1189
(310) 800-7002
Mailing address
2701 GRAFTON CT, LAS VEGAS, NV 89117-0649
(310) 800-7002
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NV
Other
Enumeration date
08/29/2019
Last updated
08/29/2019
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