Individual
MRS. KAREN MARIE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
85 SANDY BOTTOM RD, COVENTRY, RI 02816-5863
(401) 821-0600
Mailing address
12 STONY CREEK DR, WEST WARWICK, RI 02893-2353
(401) 821-4219
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN07342
RI
Other
Enumeration date
02/13/2007
Last updated
07/08/2007
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