Individual
EMILY MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 ELIZABETH ST, CHARLESTON, WV 25311-2119
(304) 766-7655
Mailing address
501 22ND ST, DUNBAR, WV 25064-1711
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
57481
WV
Other
Enumeration date
02/07/2017
Last updated
02/07/2017
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