Individual
MICHELLE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
135 JENKINS ST. SUITE 105B #265, ST.AUGUSTINE, FL 32086
(904) 770-6037
Mailing address
135 JENKINS ST. SUITE 105B #265, ST.AUGUSTINE, FL 32086
(904) 770-6037
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
12/03/2018
Last updated
12/03/2018
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