Individual
MS. CRISTY DAWN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6126 W BLAIR ST, ODESSA, TX 79764-8634
(432) 488-7985
Mailing address
1312 TERRACE DR, ANDREWS, TX 79714-3826
(432) 266-1894
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
795847
TX
Other
Enumeration date
02/19/2018
Last updated
02/19/2018
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