Mrs. Shefanie Raychel Moore
Mrs. Shefanie Raychel Moore is a Preferred Provider Organization in Shreveport, Louisiana. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
2300 Greenwood Rd Attn: Recovery AuditShreveport, LA 71103
Phone: (318) 212-2695
Fax: (318) 212-2689
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Specialties & licences
| Preferred Provider Organization (primary) | Taxonomy 305R00000X |
|---|
Record details
| NPI number | 1144892381 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | July 16, 2021 |
| Last updated in NPPES | August 12, 2022 |
| Certification date | May 14, 2021 |
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