Individual
SARAH ELIZABETH MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3076 MAIN ST, HESSMER, LA 71341-4052
(318) 305-9374
Mailing address
3076 MAIN ST, HESSMER, LA 71341-4052
(318) 305-9374
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7770003716612001
—
LA
Enumeration date
07/11/2022
Last updated
07/11/2022
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