Individual
MS. MINDY A MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
220 FLUVANNA AVE, JAMESTOWN, NY 14701-2051
(716) 487-1131
(716) 487-1138
Mailing address
220 FLUVANNA AVE, JAMESTOWN, NY 14701-2051
(716) 487-1131
(716) 487-1138
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
490641-1
NY
Other
Enumeration date
12/09/2014
Last updated
12/10/2014
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