Moore, Brenna Grace

Moore, Brenna Grace is an individual health care provider with primary practice located at 2535 W Plata Ave , Mesa AZ 85202-7860. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. Moore, Brenna Grace can be contacted via phone (623) 335-2466.

Contact Information

Primary practice address
2535 W Plata Ave Mesa AZ 85202-7860
Phone: (623) 335-2466
Fax: (623) 321-5900
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X

Profile Details

NPI number 1528401577
LBN Legal business name Moore, Brenna Grace
Credentials IOM
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 9th, 2013
Last updated Apr 9th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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