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Queenie Moore
NPI 1669656484 · on the registry since 2007 · sole proprietor
Practice
- Address
- 1415 State St
New Haven, CT 06511 - Phone
- (203) 691-1038
- Fax
- (203) 691-1038
Registry record
- Primary taxonomy
- 101Y00000X
101Y00000X
- Licence states on file
- CT
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-12-28
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 Connecticut