Individual
LINDA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
301 W CALHOUN, MAGNOLIA, AR 71753-3508
(870) 234-1597
Mailing address
301 W CALHOUN, MAGNOLIA, AR 71753-3508
(870) 234-1597
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R40168
AR
Other
Enumeration date
01/13/2014
Last updated
01/13/2014
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