Most Relevant Information
Provider Data
NPI Number: | 1003553819 |
Provider Name: | ANDREA R MOORE LMT |
Entity Type: | Individual |
Taxonomy Code: | 225700000X |
Specialty: | Massage Therapist |
License Number: |
Most Important Dates
Enumeration Date: | 05/13/2022 |
Last Updated: | 05/13/2022 |
Provider Practice Location
2917 BRINKLEY RD APT 101
TEMPLE HILLS
MD
207486056
Practice Location Phone/Fax
Phone: | 3017580029 |
Fax: |
Provider Mailing Location
2917 BRINKLEY RD APT 101
TEMPLE HILLS
MD
207486056
Provider Mailing Phone/Fax
Phone: | 3017580029 |
Fax: |