Individual
YOVONDA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2403 GOODBERRY PL APT 203, BRANDON, FL 33510-4932
(656) 900-2416
Mailing address
2403 GOODBERRY PL APT 203, BRANDON, FL 33510-4932
(656) 900-2416
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
FL
Other
Enumeration date
04/29/2025
Last updated
04/29/2025
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