Individual
MISS SHANNON MICHELLE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3275 LAKE SHORE DR, WASHOE VALLEY, NV 89704-9249
(775) 849-3434
Mailing address
3275 LAKE SHORE DR, WASHOE VALLEY, NV 89704-9249
(775) 849-3434
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
01/10/2011
Last updated
04/21/2011
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