Mr. Derrick Monterey Moore Sr.
Mr. Derrick Monterey Moore Sr. is a Driver in Meridian, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.
- Licensed in
- MS
- In the registry since
- 2008
Practice location Address checks out
8325 Poplar Springs Dr Lot 55Meridian, MS 39305-9243
Phone: (601) 681-4582
Fax: (601) 681-9642
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Driver (primary) | Taxonomy 172A00000X · Licence 9205865 (MS) |
|---|
Record details
| NPI number | 1770739872 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | August 8, 2008 |
| Last updated in NPPES | August 8, 2008 |
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