Individual
SHANIQUA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
306 W YORK DR, EMPORIA, VA 23847-1931
(757) 729-5176
Mailing address
306 W YORK DR, EMPORIA, VA 23847-1931
(757) 729-5176
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
5288
VA
Other
Enumeration date
07/17/2025
Last updated
10/10/2025
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