Raeven Dannielle Moore

NPI #1386115152 in South Hadley, Massachusetts

Provider Information

NPI Number: 1386115152
Entity Type: Individual
Name: Raeven Dannielle Moore
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Community Health Worker
Enumeration Date: Dec 5, 2018
Last Updated: Dec 5, 2018

Practice Location

Address: 258 OLD LYMAN RD
City: South Hadley
State: Massachusetts
ZIP Code: 01075-2653
Phone: (413) 532-3280

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X	Primary

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