Jacqueline Historian Moore, LPN
NPI #1659649002 in Lithonia, Georgia
Provider Information
- NPI Number
- 1659649002
- Entity Type
- Individual
- Name
- Jacqueline Historian Moore, LPN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LPN
- Enumeration Date
- Dec 13, 2011
- Last Updated
- Jan 22, 2014
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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