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Tanisha Moore
Student in an Organized Health Care Education/Training Program in Wilmette, Illinois
NPI 1558069542

Tanisha Moore is a Student in an Organized Health Care Education/Training Program based in Wilmette, IL. Tanisha Moore practices in Wilmette, IL. The NPI Number for Tanisha Moore is 1558069542 and holds a License No. (Illinois).

The current practice location address for Tanisha Moore is 311A Ridge Rd Apt 113, Wilmette, IL and can be reached out via phone at 267-505-6106. You can also correspond with Tanisha Moore through the mailing address at 311A RIDGE RD APT 113, WILMETTE, IL - 60091-3256 (mailing address contact number: 267-505-6106).

Location: 311A Ridge Rd Apt 113, Wilmette, IL, 60091-3256
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558069542
Provider Name
Tanisha Moore
Credential
Provider Entity Type
Individual
Gender
Female
Address
311A Ridge Rd Apt 113, Wilmette, IL, 60091-3256
Phone Number
267-505-6106
Fax Number
Provider Enumeration Date
02/20/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
311A Ridge Rd Apt 113
City
Wilmette
State
Illinois
Zip
60091-3256
Phone Number
267-505-6106
Fax Number
person
Provider Business Mailing Address Details
Address
311A Ridge Rd Apt 113
City
Wilmette
State
Illinois
Zip
60091-3256
Phone Number
267-505-6106
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
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.
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