Individual
MS. ASHLEY MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AESTHETICIAN
Contact information
Practice address
10520 N BAEHR RD STE M, MEQUON, WI 53092-6701
(262) 416-8385
Mailing address
10520 N BAEHR RD STE M, MEQUON, WI 53092-6701
(262) 416-8385
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
WI
Other
Enumeration date
03/24/2022
Last updated
07/20/2023
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