LATECKA S MOORE

SAVANNAH, GA
NPI1528840428
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy332B00000X Durable Medical Equipment & Medical Supplies
(Licence: GA  CO133923)
Additional Taxonomies1744P3200X Specialist, Prosthetics Case Management
(Licence: GA  CO133923)
224P00000X Prosthetist
(Licence: GA  CO133923)
225000000X Orthotic Fitter
(Licence: GA  CO133923)
Enumeration Date2023-10-17
Last Update Date2025-03-25
Business Address
LATECKA S MOORE
147 E MONTGOMERY XRD
SAVANNAH, GA 31406-4730
Phone number: 912-201-1701
Mailing Address
LATECKA S MOORE
147 E MONTGOMERY XRD
SAVANNAH, GA 31406-4730
Phone number: 912-201-1701