CRYSTAL MOORE
Contractor
Active
Individual
NPI: 1164170189
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Contractor | 171W00000X | Yes | - |
Frequently Asked Questions
NPI 1164170189 is the National Provider Identifier for CRYSTAL MOORE, a Contractor provider located in Milwaukee, WI. This NPI was enumerated on March 17, 2022.
CRYSTAL MOORE practices at 2115 W ROOSEVELT DR, Milwaukee, WI 53209.
Quick Facts
- NPI
- 1164170189
- Type
- Individual
- Enumerated
- Mar 17, 2022
- Last Updated
- Mar 17, 2022
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