Shanquita Moore

NPI #1689283590 in Leesburg, Florida

Provider Information

NPI Number
1689283590
Entity Type
Individual
Name
Shanquita Moore
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Adult Companion
Enumeration Date
Jul 27, 2020
Last Updated
Jul 29, 2020

Practice Location

Address
9602 SEAVIEW DR APT 101
State
Florida
ZIP Code
34788-7699
Phone
(850) 960-3277

Specialties & Taxonomy Codes

Specialty
Adult Companion

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