KATIE RAE MOORE

FORT WAYNE, IN
NPI1619671583
Former NameKATIE RAE CLEMENS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: IN  27078323A)
Enumeration Date2023-03-27
Last Update Date2023-03-27
Business Address
MRS. KATIE RAE MOORE LPN
2121 LAKE AVE
FORT WAYNE, IN 46805-5100
Phone number: 260-425-5431
Mailing Address
MRS. KATIE RAE MOORE LPN
1924 N TYLAND BLVD
NEW HAVEN, IN 46774-1546
Phone number: 260-705-5788
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