Individual
MISS CANDACE MICHELLE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1401 SPARTA ST, MCMINNVILLE, TN 37110-1301
(931) 473-8468
(931) 473-0595
Mailing address
1401 SPARTA ST, MCMINNVILLE, TN 37110-1301
(931) 473-8468
(931) 473-0595
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
182559
TN
Other
Enumeration date
05/15/2012
Last updated
05/15/2012
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