CARLA MOORE
Individual Provider (NPI-1)
Active
Home Health Aide
Provider Information
- NPI Number
1053040303- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 2724 PEBBLE WAY, NAMPA, ID, 836867978
- Phone
- (208) 571-8710
Specialties & Taxonomies
Home Health Aide
Primary License: ID #BB234643E