Individual
SHALON S MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1332 WATERFORD CIR, GOSHEN, IN 46526-6009
(574) 537-0300
Mailing address
53449 COUNTY ROAD 9 LOT 10, ELKHART, IN 46514-5298
(574) 226-4302
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28298042A
IN
Other
Enumeration date
08/02/2025
Last updated
08/02/2025
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