GALE MOORE

GRENADA, MS
NPI1962582585
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367A00000X Advanced Practice Midwife
(Licence: MS  R525294)
Additional Taxonomies363LX0001X Nurse Practitioner, Obstetrics & Gynecology
(Licence: MS  R525294)
Enumeration Date2006-10-17
Last Update Date2012-01-04
Business Address
-- GALE MOORE C.N.M.
1401 OAK ST
GRENADA, MS 38901-4633
Phone number: 662-226-4010
Mailing Address
-- GALE MOORE C.N.M.
1401 OAK ST
GRENADA, MS 38901-4633
Phone number: 662-226-4010