Individual
LISA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2208 PERRY AVE, EDGEWOOD, MD 21040-2806
(443) 986-3553
Mailing address
3437 HENRY HARFORD DR, ABINGDON, MD 21009-1130
(443) 986-3553
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
05/14/2020
Last updated
05/14/2020
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