Individual
GLORIA C MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DEM
Contact information
Practice address
4618 S RUSSELL ST APT B, HOLLADAY, UT 84117-4549
(214) 717-0689
Mailing address
4618 S RUSSELL ST APT B, HOLLADAY, UT 84117-4549
(214) 717-0689
Taxonomy
Speciality
Code
Description
License number
State
175M00000X
Lay Midwife
Primary
—
—
Other
Enumeration date
12/30/2016
Last updated
12/30/2016
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