Engra De'Ete Moore, BA, MS Valid NPI

Individual provider · Contractor · Ashburn, GA

NPI

1083430219

Type

Individual (Type 1)

Primary specialty

Contractor

Specialty group

Other Service Providers

Taxonomy code

171W00000X

Sex

Female

Sole proprietor

Yes

Enumerated

2024-12-03

Last updated

2024-12-03