Individual
CONNIE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
249 MAUREEN LN NE, COLUMBIA HEIGHTS, MN 55421-2796
(763) 203-0266
Mailing address
249 MAUREEN LN NE, COLUMBIA HEIGHTS, MN 55421-2796
(763) 203-0266
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
—
—
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
05/02/2025
Last updated
07/10/2025
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