Individual
REBECCA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
60 HORSESHOE DR, PALMERTON, PA 18071-6216
(570) 436-6491
Mailing address
1620 SUMMER MOUNTAIN RD, PALMERTON, PA 18071-6648
(610) 737-7235
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
531583
PA
Other
Enumeration date
03/22/2019
Last updated
06/11/2019
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