NPI 1114768652

Brian Luther Moore

Practitioner Contractor Silver Spring, MD

Practice location

Address: 11534 Lockwood Dr APT B2, Silver Spring, MD 20904-2422
Phone: (202) 852-2047

Registered specialties (2)

Contractor Primary

Other Service Providers Taxonomy 171W00000X

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Adult Companion

Nursing Service Related Providers Taxonomy 372600000X

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Registry record

NPI: 1114768652
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Jun 2024
Record last updated: 6 Jun 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.