Latisha Monique Moore is a student in an organized health care education training program in Gulfport, MS. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Latisha Monique Moore NPI is 1902540446. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
10584 STEEPLECHASE DR
GULFPORT, MS
ZIP 39503-279
Phone: (228) 297-3720
The enumeration date for this NPI number is 4/21/2022 and was last updated on 5/14/2022.