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Carla Moore
NPI 1053040303 · on the registry since 2022 · sole proprietor
Practice
- Address
- 2724 Pebble Way
Nampa, ID 83686 - Phone
- (208) 571-8710
Registry record
- Primary taxonomy
- 374U00000X
374U00000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-06-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho