Individual
DONNA K MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1755 PARR AVE, DYERSBURG, TN 38024-2004
(731) 285-7311
Mailing address
1755 PARR AVE, DYERSBURG, TN 38024-2004
(731) 285-7311
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN0000044674
TN
Other
Enumeration date
02/15/2007
Last updated
02/21/2008
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