Individual
JENNIFER MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4810 NEWKIRK ST, LADSON, SC 29456-4445
(843) 732-3092
Mailing address
4810 NEWKIRK ST, LADSON, SC 29456-4445
(843) 732-3092
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
09/22/2015
Last updated
09/22/2015
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