MIEZRA J MOORE

MEDFORD, NY
NPI1134590300
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: NY  679361)
Enumeration Date2015-10-14
Last Update Date2015-10-14
Business Address
-- MIEZRA J MOORE rn
342 WAVERLY AVE
MEDFORD, NY 11763-2550
Phone number: 631-220-1964
Mailing Address
-- MIEZRA J MOORE rn
342 WAVERLY AVE
MEDFORD, NY 11763-2550
Phone number: 631-220-1964
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