Individual
LISA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
206 B 6TH STREET NORTH, AMORY, MS 38821
(662) 646-5297
Mailing address
206 B 6TH STREET NORTH, AMORY, MS 38821
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
03/31/2022
Last updated
03/31/2022
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