Most Relevant Information
Provider Data
| NPI Number: | 1003666736 |
| Provider Name: | ALEXANDRIA SCHLEIGH MOORE |
| Entity Type: | Individual |
| Taxonomy Code: | 246ZE0600X |
| Specialty: | Specialist/Technologist, Other |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/25/2024 |
| Last Updated: | 03/25/2024 |
Provider Practice Location
7455 W WASHINGTON AVE
LAS VEGAS
NV
891284337
Practice Location Phone/Fax
| Phone: | 8558644322 |
| Fax: |
Provider Mailing Location
861 BUCKATUNNA MOUNT ZION RD
WAYNESBORO
MS
393678027
Provider Mailing Phone/Fax
| Phone: | 6012707004 |
| Fax: |