Individual
AMANDA MICHELLE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RESPIRATORY THERAPIS
Contact information
Practice address
205 KENTUCKY AVE, STEVENSON, AL 35772-3103
(256) 695-7348
Mailing address
955 COUNTY ROAD 255, BRIDGEPORT, AL 35740-7425
(256) 695-7348
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
09/30/2022
Last updated
03/01/2023
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