Individual provider · Type 1 NPI
Wanda Moore
Driver · Covington, VA
NPI number
1679099501
Active
Practice location
140 N Court Ave
Covington, VA 24426-1534
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | None listed |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
About NPI 1679099501
Wanda Moore's National Provider Identifier is 1679099501, issued on Aug 22, 2017. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Covington, VA. The record was last updated on Jul 21, 2022.