Individual
JANESSA CYNTHIA LUCILLE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NCPT
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
Primary
945987
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
945987
NATION CENTER OF COMPETENCY
AK
Enumeration date
09/10/2019
Last updated
09/10/2019
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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