Individual
LAVONDA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
STNA
Contact information
Practice address
3116 MURDOCK AVE, CINCINNATI, OH 45205-2241
(513) 485-4295
Mailing address
3116 MURDOCK AVE, CINCINNATI, OH 45205-2241
(513) 485-4295
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
401842620416
OH
Other
Enumeration date
05/26/2021
Last updated
05/26/2021
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