Individual provider · Type 1 NPI

Mya Moore

Student in an Organized Health Care Education/Training Program · Louisville, KY

NPI number 1689405896 Active

Practice location

2301 S 3rd St
Louisville, KY 40208-1838

Call (502) 852-5555 Map

Mailing address

227 Sunset Dr
Hercules, CA 94547-2012

Other practice locations

  • 227 Sunset Dr, Hercules, CA 94547-2012 · (510) 778-0127

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1689405896

Mya Moore's National Provider Identifier is 1689405896, issued on Aug 9, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Louisville, KY. The record was last updated on Aug 9, 2024.