Individual provider · Type 1 NPI

Maurice Moore

Driver · Maplewood, MN

NPI number 1669838652 Active

Practice location

1695 County Road D E, 203
Maplewood, MN 55109-5333

Specialties and licenses

TaxonomyCodeLicense
Driver Primary 172A00000XW263205113111 (MN)

Driver: A person employed to operate a motor vehicle as a carrier of persons or property.

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About NPI 1669838652

Maurice Moore's National Provider Identifier is 1669838652, issued on Jan 7, 2016. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Maplewood, MN. The record was last updated on Jan 7, 2016.