Individual
MRS. TIARA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPT
Contact information
Practice address
4204 LIND LN, MIDLOTHIAN, VA 23112-2628
(434) 607-5905
(833) 392-1187
Mailing address
4204 LIND LN, MIDLOTHIAN, VA 23112-2628
(434) 607-5905
(833) 392-1187
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
671110140005
VA
Other
Enumeration date
02/26/2021
Last updated
02/26/2021
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