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

TaxonomyCodeLicense
Driver Primary 172A00000XNone 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.