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NPI 1508319955

IndividualActive

Christine Moore, IDC

NPI 1508319955 · Independent Duty Corpsman · Groton, CT

Provider details

NPI number: 1508319955
Entity type: Individual
Primary specialty: Independent Duty CorpsmanOther Service Providers
Credential: IDC
Sex: Female
Sole proprietor: No

Practice location

200 Michelle Ln Apt 310

Groton, CT 06340-4235

Phone: (630) 453-7497

More CT providers

Mailing address

200 Michelle Ln Apt 310

Groton, CT 06340-4235

Registry dates

Enumerated: 2016-08-02
Last updated: 2016-08-02

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Christine Moore, IDC — NPI 1508319955, Groton, CT | NPI Central