Carissa Laverne Moore

NPI #1588245013 in Atoka, Oklahoma

Provider Information

NPI Number
1588245013
Entity Type
Individual
Name
Carissa Laverne Moore
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Technician - Personal Care Attendant
Enumeration Date
Apr 16, 2021
Last Updated
Apr 16, 2021

Practice Location

Address
1680 S GREATHOUSE DRIVE
City
Atoka
ZIP Code
74525
Phone
(580) 297-6965

Specialties & Taxonomy Codes

Specialty
Technician - Personal Care AttendantPersonal Care Attendant

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