Individual
MRS. JENNIFER MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
625 COLERIDGE AVE, DAYTON, OH 45426-2533
(937) 270-5086
Mailing address
625 COLERIDGE AVE, DAYTON, OH 45426-2533
(937) 270-5086
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/30/2025
Last updated
07/30/2025
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