DAMITCHELL DETAVIOUS MONTEZ MOORE

COLUMBIA, SC
NPI1568212884
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy246RP1900X Technician, Pathology Phlebotomy
Enumeration Date2024-03-27
Last Update Date2024-03-31
Business Address
DAMITCHELL DETAVIOUS MONTEZ MOORE NCPT
136-4 FORUM DR #234
COLUMBIA, SC 29229
Phone number: 839-234-0175
Mailing Address
DAMITCHELL DETAVIOUS MONTEZ MOORE NCPT
136-4 FORUM DR #234
COLUMBIA, SC 29229
Phone number: 839-234-0175
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