Individual
PHYLICIA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5501 1ST ST NW, WASHINGTON, DC 20011-5258
(202) 558-2448
(202) 204-5758
Mailing address
11656 S LAUREL DR APT 3C, LAUREL, MD 20708-3031
(240) 501-2275
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
NA00809517
DC
Other
Enumeration date
07/28/2016
Last updated
07/28/2016
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