Tracy Moore

NPI #1598130395 in Otisville, New York

Provider Information

NPI Number
1598130395
Entity Type
Individual
Name
Tracy Moore
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Enumeration Date
Dec 4, 2015
Last Updated
Dec 4, 2015

Practice Location

Address
2 LAURA LN
ZIP Code
10963-2316
Phone
(845) 412-5414

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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