Individual
DR. AMY MICHELLE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD RD
Contact information
Practice address
138 HAUPT AVE, BELLEFONTE, PA 16823-1218
(740) 591-7984
Mailing address
138 HAUPT AVE, BELLEFONTE, PA 16823-1218
(740) 591-7984
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86058097
PA
Other
Enumeration date
01/18/2021
Last updated
01/18/2021
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