Individual
KIARA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11200 GOVERNOR MANLY WAY, RALEIGH, NC 27614-8599
(912) 272-5025
Mailing address
311 S LASALLE ST, APT 2K, DURHAM, NC 27705-3643
(912) 272-5025
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/01/2015
Last updated
07/01/2015
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