MONTE DALE MOORE

RUSTON, LA
NPI1558829382
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy364SP0810X Clinical Nurse Specialist, Psych/Mental Health, Child & Family
(Licence: LA  203896)
Enumeration Date2019-03-11
Last Update Date2019-06-26
Business Address
MONTE DALE MOORE APRN
401 E VAUGHN AVE
RUSTON, LA 71270-5950
Phone number: 318-224-7190
Mailing Address
MONTE DALE MOORE APRN
PO BOX 1288
WINNFIELD, LA 71483-1288
Phone number: 318-224-7190
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