Individual provider · Type 1 NPI
Tianna R. Moore
Driver · Philadelphia, PA
NPI number
1902668437
Active
Practice location
2839 W Girard Ave Fl 1
Philadelphia, PA 19130-1214
Mailing address
411 Quincy Ave
Middletown, DE 19709-8368
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | 2167500 (DE) |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
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About NPI 1902668437
Tianna R. Moore's National Provider Identifier is 1902668437, issued on Jan 29, 2024. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Philadelphia, PA. The record was last updated on Jan 29, 2024.