Individual
BETHANIE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3000 29TH ST APT 7, PARKERSBURG, WV 26104-2208
(304) 494-3828
Mailing address
3000 29TH ST APT 7, PARKERSBURG, WV 26104-2208
(304) 494-4828
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
01/26/2024
Last updated
01/26/2024
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