Individual
MRS. VANESSA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
37621 N 3RD AVE, SLIDELL, LA 70460-4426
(985) 640-9341
Mailing address
37621 N 3RD AVE, SLIDELL, LA 70460-4426
(985) 640-9341
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
10427467
TX
Other
Enumeration date
08/14/2009
Last updated
08/14/2009
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