Individual
TAUSHIMA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HAIR LOSS SPECIALIST
Contact information
Practice address
122 HARRISON ST, WILLIAMSTON, NC 27892-2464
(252) 508-6691
Mailing address
PO BOX 13, WILLIAMSTON, NC 27892-0013
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
99971
NC
Other
Enumeration date
09/02/2015
Last updated
09/02/2015
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