person
Shenell Moore, RMA
Medical Technologist in Hammond, Indiana
NPI 1215545363

Shenell Moore is a Medical Technologist based in Hammond, IN and is specialized in Medical Technologist. Shenell Moore practices in Hammond, IN and has the professional credentials of RMA. The NPI Number for Shenell Moore is 1215545363 and holds a License No. 2811784 (Indiana).

The current practice location address for Shenell Moore is 225 Gostlin St, Hammond, IN and can be reached out via phone at 708-953-2575 and via fax at 219-289-9108.

Location: 225 Gostlin St, Hammond, IN, 46327-1302
person
Provider Profile Details
NPI Number
1215545363
Provider Name
Shenell Moore
Credential
RMA
Provider Entity Type
Individual
Gender
Female
Address
225 Gostlin St, Hammond, IN, 46327-1302
Phone Number
708-953-2575
Fax Number
219-289-9108
Provider Enumeration Date
07/15/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
202006291401707 01 IN HOME HEALTH
institution
Provider Business Practice Location Address Details
Address
225 Gostlin St
City
State
Zip
46327-1302
Phone Number
708-953-2575
Fax Number
219-289-9108
person
Provider Business Mailing Address Details
Address
225 Gostlin St
City
State
Zip
46327-1302
Phone Number
708-953-2575
Fax Number
219-289-9108
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Specialist/Technologist, Pathology
Speciality
Medical Technologist
Taxonomy
License No.
2811784 (Illinois)
Definition
Definition to come...
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