Individual
HALEY MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
75 CROSS CREEK PKWY APT 3204, HATTIESBURG, MS 39402-4449
(251) 923-6420
Mailing address
75 CROSS CREEK PKWY APT 3204, HATTIESBURG, MS 39402-4449
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/04/2021
Last updated
11/04/2021
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