Harley Nicole Moore

NPI #1215567722 in Decatur, Alabama

Provider Information

NPI Number: 1215567722
Entity Type: Individual
Name: Harley Nicole Moore
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Jan 23, 2020
Last Updated: Jan 23, 2020

Practice Location

Address: 710 14TH AVE SE
City: Decatur
State: Alabama
ZIP Code: 35601-3314
Phone: (256) 341-7162

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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