PATRICIA E. MOORE

MERIDIAN, ID
NPI1912476672
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: ID  60041)
Enumeration Date2018-11-24
Last Update Date2018-11-24
Business Address
PATRICIA E. MOORE
520 S EAGLE RD
MERIDIAN, ID 83642-6351
Phone number: 208-706-4151
Mailing Address
PATRICIA E. MOORE
2625 E PICCADILLY LN
EAGLE, ID 83616-5557
Phone number: 208-794-0825
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