Engra De'ete Moore, BA, MS

NPI #1083430219 in Ashburn, Georgia

Provider Information

NPI Number: 1083430219
Entity Type: Individual
Name: Engra De'ete Moore, BA, MS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Contractor
Credential: BA, MS
Enumeration Date: Dec 3, 2024
Last Updated: Dec 3, 2024

Practice Location

Address: 521 S JEFFERSON ST
City: Ashburn
State: Georgia
ZIP Code: 31714-5829
Phone: (229) 508-9551

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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