SHAWNAS MONIQUE MOORE

LOUISVILLE, KY
NPI1306480967
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1744P3200X Specialist Prosthetics Case Management
(Licence: KY  700005277)
Additional Taxonomies174400000X Specialist
(Licence: KY  700005277)
Enumeration Date2019-11-06
Last Update Date2020-02-03
Business Address
SHAWNAS MONIQUE MOORE
3007 DR WILLIAM G WEATHERS DR
LOUISVILLE, KY 40211-1891
Phone number: 312-957-4247
Mailing Address
SHAWNAS MONIQUE MOORE
113 HILLSIDE CIR
CHARLESTOWN, IN 47111-1008
Phone number: 312-957-4247