Theresa Lynn Moore, LPN

NPI #1477844769 in Wayland, New York

Provider Information

NPI Number
1477844769
Entity Type
Individual
Name
Theresa Lynn Moore, LPN
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Credential
LPN
Enumeration Date
Apr 21, 2011
Last Updated
Apr 21, 2011

Practice Location

Address
7398 LIME KILN RD
ZIP Code
14572-9213
Phone
(585) 519-2216

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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