Individual provider · Type 1 NPI

Latisha Monique Moore

Student in an Organized Health Care Education/Training Program · Gulfport, MS

NPI number 1902540446 Active

Practice location

10584 Steeplechase Dr
Gulfport, MS 39503-4279

Call (228) 297-3720 Map

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 1902540446

Latisha Monique Moore's National Provider Identifier is 1902540446, issued on Apr 21, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Gulfport, MS. The record was last updated on May 14, 2022.