Domenique Moore

NPI #1356992531 in Bellport, New York

Provider Information

NPI Number
1356992531
Entity Type
Individual
Name
Domenique Moore
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Registered Nurse
Enumeration Date
Sep 27, 2019
Last Updated
Sep 27, 2019

Practice Location

Address
2045 FOXGLOVE CIR
ZIP Code
11713-3077
Phone
(631) 433-0338

Specialties & Taxonomy Codes

Specialty
Registered Nurse

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