Individual
SHANA LOLETA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
500 HOLLY SPRINGS RD, HOLLY SPRINGS, NC 27540-6204
(984) 225-2558
Mailing address
500 HOLLY SPRINGS RD, HOLLY SPRINGS, NC 27540-6204
(984) 225-2558
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
13297
NC
Other
Enumeration date
06/05/2019
Last updated
06/05/2019
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