BRENDA MOORE

FORT POLK, LA
NPI1952806986
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: AK  DENH966)
Enumeration Date2018-03-30
Last Update Date2018-03-30
Business Address
Mrs. BRENDA MOORE RDH
7223 MISSISSIPPI AVE BUILDING 2157
FORT POLK, LA 71459
Phone number: 337-531-4854
Mailing Address
Mrs. BRENDA MOORE RDH
360 FAIRWAY CT
FORT POLK, LA 71459-3121
Phone number: 907-854-9761