Tracy Rene Moore, LPN,CSFA

NPI #1033982053 in Shiloh, Illinois

Provider Information

NPI Number
1033982053
Entity Type
Individual
Name
Tracy Rene Moore, LPN,CSFA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Licensed Practical Nurse
Credential
LPN,CSFA
Enumeration Date
Nov 1, 2023
Last Updated
Nov 1, 2023

Practice Location

Address
1404 CROSS ST
City
Shiloh
ZIP Code
62269-2988
Phone
(618) 607-1000

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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