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Kanasha Moore

NPI 1245910934 · on the registry since 2023

Practice

Address: 100 Broadway Ste A
Elmwood Park, NJ 07407
Phone: (201) 749-2045
Organisation at this address: Walgreen Eastern Co Inc
Eastern Dental Of Elmwood Park, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 17

Registry record

Primary taxonomy: Licensed Practical Nurse
164W00000X
Licence states on file: NJ
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2023-07-19

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 New Jersey