Individual
BARBARA LUCILLE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
961 GORDON DR, SOUTH CHARLESTON, WV 25303-2232
(681) 385-0159
Mailing address
961 GORDON DR, SOUTH CHARLESTON, WV 25303-2232
(681) 385-0159
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
11/04/2022
Last updated
11/04/2022
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