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Lakeysha Moore
NPI 1467025361 · on the registry since 2021 · sole proprietor
Practice
- Address
- 5109 Rock Beauty Ct
Waldorf, MD 20603 - Phone
- (240) 346-8178
- Fax
- (240) 607-7057
Registry record
- Primary taxonomy
- 335E00000X
335E00000X
- Also registered as
- 332B00000X
- Licence states on file
- MD
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-07-20
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 Maryland