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Latrenia Moore

NPI 1457946568 · on the registry since 2021 · sole proprietor

Practice

Address
811 Hidden Spring Dr Apt C
Clarksville, TN 37042
Phone
(920) 587-7320

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
KY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-03-02

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 Tennessee