Individual
MISS JACARA SARAH MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9847 COTTONWOOD RD, COTTONWOOD, AL 36320-3285
(334) 798-8062
Mailing address
PO BOX 143, COTTONWOOD, AL 36320-0143
(334) 798-8062
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
181192
AL
Other
Enumeration date
04/08/2024
Last updated
04/08/2024
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