Latisha Monique Moore
Latisha Monique Moore is a Student in an Organized Health Care Education/Training Program in Gulfport, Mississippi. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
10584 Steeplechase DrGulfport, MS 39503-4279
Phone: (228) 297-3720
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1902540446 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | April 21, 2022 |
| Last updated in NPPES | May 14, 2022 |
| Certification date | May 14, 2022 |
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