ALTHEA MOORE

CHICAGO, IL
NPI1922618594
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: IL  020.011098)
Enumeration Date2020-08-07
Last Update Date2020-08-07
Business Address
ALTHEA MOORE
2020 W HARRISON ST
CHICAGO, IL 60612-3741
Phone number: 312-572-4785
Mailing Address
ALTHEA MOORE
1645 COTTAGE GROVE AVE
FORD HEIGHTS, IL 60411-3818
Phone number: 312-572-4785