Kanasha Moore
NPI #1245910934 in Elmwood Park, New Jersey
Provider Information
- NPI Number
- 1245910934
- Entity Type
- Individual
- Name
- Kanasha Moore
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- Jul 19, 2023
- Last Updated
- Jul 19, 2023
Practice Location
- Address
- 100 BROADWAY STE A
- City
- Elmwood Park
- State
- New Jersey
- ZIP Code
- 07407-3088
- Phone
- (201) 749-2045
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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