Itanjula Moore
Itanjula Moore is a Homemaker in Lena, Mississippi. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
88 Trail RdLena, MS 39094-9654
Phone: (769) 203-9570
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Homemaker (primary) | Taxonomy 376J00000X |
|---|
Record details
| NPI number | 1427653385 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | November 30, 2020 |
| Last updated in NPPES | December 8, 2020 |
| Certification date | December 8, 2020 |
| Mailing address | 88 Trail Rd, Lena, MS 39094-9654 |