Individual
OPHIONIA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8210 HANDSOME JOE LN APT 303, MANASSAS, VA 20111-7218
(240) 751-2091
Mailing address
8210 HANDSOME JOE LN APT 303, MANASSAS, VA 20111-7218
(240) 751-2091
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/21/2020
Last updated
12/21/2020
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