| Laveta Moore, | |
|
135 Okolona Cutoff Rd, Houston, MS 38851-9769 | |
| (662) 990-7867 | |
| Not Available |
| Full Name | Laveta Moore |
|---|---|
| Gender | Female |
| Speciality | Registered Nurse |
| Location | 135 Okolona Cutoff Rd, Houston, Mississippi |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962367466 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 928685 (Mississippi) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Laveta Moore, 135 Okolona Cutoff Rd, Houston, MS 38851-9769 Ph: (662) 990-7867 | Laveta Moore, 135 Okolona Cutoff Rd, Houston, MS 38851-9769 Ph: (662) 990-7867 |
Crystal Dawn Vance, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 636 Starkville Rd, Houston, MS 38851 Phone: 662-542-9065 | |
Jacqueline Cooper, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 212 Lot1 County Rd 331, Houston, MS 38851 Phone: 662-542-9440 |