Individual
MRS. LATANYA YVETTE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3392 SW 131ST PLACE RD, OCALA, FL 34473-7939
(352) 812-7756
Mailing address
3392 SW 131ST PLACE RD, OCALA, FL 34473-7939
(352) 812-7756
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
687825396
FL
372600000X
Adult Companion
687825396
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
687825396
—
FL
Enumeration date
01/20/2009
Last updated
01/20/2009
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