Individual
D'NIA MARIA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2600 SIXTH ST SW, CANTON, OH 44710-1702
(330) 830-3393
(234) 521-7091
Mailing address
625 CLEVELAND AVE NW, CANTON, OH 44702-1805
(330) 455-0374
(330) 453-6716
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN.189981
OH
Other
Enumeration date
08/15/2024
Last updated
08/15/2024
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