| Provider / Organization | NPI | Date Certified |
|---|---|---|
| RENEE MOORE | 1093592396 | 2023-09-11 |
Renee Moore is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1093592396. Registration indicates Renee Moore is a provider of services with a specialization in Technician: Personal Care Attendant (Nursing Service Related Providers, Technician) (Technician Personal Care Attendant, Nursing Service Related Providers) (Technician, )
| Entity Type | Individual |
| Provider Name | Renee Moore |
| Practice Office Address | 4245 S GRAND CANYON DR STE 226 LAS VEGAS, NV US |
| Practice Office Telephone | 7027510356 |
| Mailing Address | 4245 S GRAND CANYON DR STE 226 LAS VEGAS, NV 891477162 US |
| Business Telephone | 7027510356 |
| Code | Practice | License No State |
|---|---|---|
| 3747P1801X PRIMARY | Technician: Personal Care Attendant Nursing Service Related Providers Technician Technician Personal Care Attendant Nursing Service Related Providers Technician |