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NPI Code Detail

MEDICARE: LAQUESHA MOORE

MEDICARE: LAQUESHA MOORE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1164X00000XLicensed Vocational Nurse719494CA

General Provider Information

NPI Number : 1750238259
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAQUESHA MOORE
Provider Business Mailing Address
First Line : 1474 FALLBROOK AVE
Second Line :
City : HEMET
State : CA
Zip : 92545-9063
Country : US
Telephone Number : 951-489-2333
Fax Number :
Provider Business Practice Location Address
First Line : 85 RAMONA EXPY STE 3
Second Line :
City : PERRIS
State : CA
Zip : 92571-7014
Country : US
Telephone Number : 951-349-4195
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/13/2026
Last Update Date : 03/13/2026

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Directions to “ LAQUESHA MOORE ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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