Individual
KAYLA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 ROSASCHI RD, YERINGTON, NV 89447-8722
(775) 392-2650
Mailing address
2560 BUSINESS PKWY STE B, MINDEN, NV 89423-8961
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
11/09/2012
Last updated
11/09/2012
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