Kisha Chanette Moore

NPI #1619537115 in Sicklerville, New Jersey

Provider Information

NPI Number: 1619537115
Entity Type: Individual
Name: Kisha Chanette Moore
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Homemaker
Enumeration Date: Jun 17, 2019
Last Updated: Jun 17, 2019

Practice Location

Address: 152 QUIET RD
City: Sicklerville
State: New Jersey
ZIP Code: 08081-5621
Phone: (609) 915-6387

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Homemaker	376J00000X	Primary

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