DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHENELL MOORE, RMA

Active Sole Proprietor

Medical Technologist · HAMMOND, IN

Registration Details

NPI Number
1215545363
Provider Type
Individual
Gender
Female
NPI Issued
Jul 15, 2020 (5.7717193705196 yrs)
Last Updated
Jul 15, 2020
License
2811784 (IL)
Sole Proprietor
Yes

Practice Information

Address
225 GOSTLIN ST
HAMMOND, IN, 463271302
Browse IN providers · Browse ZIP 46327
Phone
7089532575
Fax
2192899108
Primary Specialty
Medical Technologist
246QM0706X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.