Individual
MS. DANA L. MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN / DTR
Contact information
Practice address
4721 READING RD, CINCINNATI, OH 45237-6107
(513) 242-7600
Mailing address
4721 READING RD, CINCINNATI, OH 45237-6107
(513) 242-7600
Taxonomy
Speciality
Code
Description
License number
State
136A00000X
Registered Dietetic Technician
961302
OH
164W00000X
Licensed Practical Nurse
Primary
PN.14544-M-IV
OH
Other
Enumeration date
01/22/2015
Last updated
01/22/2015
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