Individual
MRS. WANDA D MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DME
Contact information
Practice address
2213 N LIMESTONE ST, SPRINGFIELD, OH 45503-2635
(937) 399-6477
Mailing address
2213 N LIMESTONE ST, SPRINGFIELD, OH 45503-2635
(937) 399-6477
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
NA
—
Other
Enumeration date
02/23/2007
Last updated
07/09/2007
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