Individual
TASHIANA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8247 FAIRWAYS CIR, OCALA, FL 34472-8577
(352) 615-8442
Mailing address
8247 FAIRWAYS CIR, OCALA, FL 34472-8577
(352) 615-8442
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
07/08/2020
Last updated
07/08/2020
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