Individual
MS. TRINA DENISE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
253 COUNTY ROAD 352, GREENWOOD, MS 38930-7076
(662) 299-3858
Mailing address
253 COUNTY ROAD 352, GREENWOOD, MS 38930-7076
(662) 299-3858
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R779801
MS
Other
Enumeration date
02/22/2010
Last updated
02/22/2010
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