Individual
ROYA CHARLISE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
155 BROOKLAWN AVE, BRIDGEPORT, CT 06604-2011
(203) 751-5230
Mailing address
155 BROOKLAWN AVE, BRIDGEPORT, CT 06604-2011
(203) 751-5230
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
42161
CT
Other
Enumeration date
07/15/2026
Last updated
07/17/2026
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