Tanisha Moore's National Provider Identifier (NPI) Details
Tanisha Moore,
NPI: 1679292700
Enumeration Date: 2022-08-23
Last updated: 2022-08-23
Sole Proprietor: YES
Status: active
Postal Address: 4317 SAINT BERNARD AVE, NEW ORLEANS, LA
Phone: 504-256-3777
Primary Practice Address: 4317 SAINT BERNARD AVE, NEW ORLEANS, LA
Practice's phone: 504-256-3777