Most Relevant Information
Provider Data
| NPI Number: | 1003388489 |
| Provider Name: | LATOYA MOORE |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/21/2018 |
| Last Updated: | 12/21/2018 |
Provider Practice Location
458 GRAND AVE
NEW HAVEN
CT
065133856
Practice Location Phone/Fax
| Phone: | 2033149026 |
| Fax: |
Provider Mailing Location
458 GRAND AVE
NEW HAVEN
CT
065133856
Provider Mailing Phone/Fax
| Phone: | 2033149026 |
| Fax: |