Shefanie Raychel Moore Valid NPI
Individual provider · Preferred Provider Organization · Shreveport, LA
- NPI
- 1144892381
- Type
- Individual (Type 1)
- Primary specialty
- Preferred Provider Organization
- Specialty group
- Managed Care Organizations
- Taxonomy code
- 305R00000X
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2021-07-16
- Last updated
- 2022-08-12
Practice location
2300 Greenwood Rd, Attn: Recovery Audit
Shreveport, LA 71103
(318) 212-2695