Individual
ELEXIS KAYLEENE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
227 MULBERRY ST, FELICITY, OH 45120-9803
(937) 213-2179
Mailing address
PO BOX 126, FELICITY, OH 45120-0126
(937) 213-2179
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
11/02/2023
Last updated
11/02/2023
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