Individual
MILLIE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
283 COCHRAN RD, CHATTAHOOCHEE, FL 32324-3607
(850) 442-6625
Mailing address
342 ATWATER RD, CHATTAHOOCHEE, FL 32324-3121
(850) 442-6625
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
10/23/2010
Last updated
10/23/2010
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