Individual
MELANIE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
550 N CENTRAL EXPY # 2287, MCKINNEY, TX 75070-3526
(206) 333-1193
Mailing address
PO BOX 2287, MCKINNEY, TX 75070-8168
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
555194
TX
Other
Enumeration date
10/13/2006
Last updated
07/04/2010
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