NPI | 1417558958 |
---|---|
Doing Business As | MOORE HEALTHCARE PLLC |
Entity Type | Organization |
Authorized Contact | CHRYSTAL G MOORE CEO/Administrator 757-323-9104 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2020-11-02 |
Last Update Date | 2020-11-02 |