Individual
CEOLA P. MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
628 N PLEASANT HILL RD, NEWHEBRON, MS 39140-4028
(601) 260-4277
Mailing address
628 N PLEASANT HILL RD, NEWHEBRON, MS 39140-4028
(601) 260-4277
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
905792
MS
Other
Enumeration date
03/05/2019
Last updated
04/09/2022
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