Gloria C Moore, DEM

NPI #1861937740 in Holladay, Utah

Provider Information

NPI Number: 1861937740
Entity Type: Individual
Name: Gloria C Moore, DEM
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Midwife, Lay
Credential: DEM
Enumeration Date: Dec 30, 2016
Last Updated: Dec 30, 2016

Practice Location

Address: 4618 S RUSSELL ST APT B
City: Holladay
State: Utah
ZIP Code: 84117-4549
Phone: (214) 717-0689

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Midwife, Lay	175M00000X	Primary

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