Individual
MS. CHERYL ANN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10031 GOLDEN GATE AVE, BATON ROUGE, LA 70818-3144
(225) 328-7026
Mailing address
350 MAIN ST, BAKER, LA 70714-3767
(225) 328-7026
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
LA
Other
Enumeration date
12/05/2018
Last updated
12/05/2018
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