Callie Moore

NPI #1295394468 in Texarkana, Arkansas

Provider Information

NPI Number
1295394468
Entity Type
Individual
Name
Callie Moore
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Licensed Practical Nurse
Enumeration Date
Jun 11, 2019
Last Updated
Jun 11, 2019

Practice Location

Address
1907 LOWELL ST
ZIP Code
71854-7913
Phone
(903) 949-8616

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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