Elizabeth R Moore
Technician, Personal Care Attendant in Las Vegas, NV. Individual provider (NPI-1).
NPI number1366176331
StatusActive
Last updated in NPPESJul 14, 2022
Details
- NPI
- 1366176331
- Entity type
- Individual (NPI-1)
- Name
- Elizabeth R Moore
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 14, 2022
- Certification date
- Jul 14, 2022
- Last updated
- Jul 14, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
Practice location
2770 S Maryland Pkwy Ste 213aLas Vegas, NV 89109-1565
Phone 702-331-0100
Mailing address
3940 Scott Robinson Blvd Apt 1112North Las Vegas, NV 89032-7876
Phone 702-980-2628
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