NPI 1619497930
Treston Moore
Practice location
- Address
- 2175 Stockwell Rd APT 417, Bossier City, LA 71111
- Phone
- (318) 208-0388
- Mailing address
- 2175 Stockwell Rd APT 417, Bossier City, LA 71111-5776
Registered specialties
Adult Companion
Primary
Registry record
- NPI
- 1619497930
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 27 Jun 2017
- Record last updated
- 21 Jul 2022
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.