Individual
RACHEL ARIEL MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2611 WAYNE AVE, DAYTON, OH 45420-1833
(937) 256-7801
Mailing address
2611 WAYNE AVE, DAYTON, OH 45420-1833
(937) 256-7801
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
RN.499080
OH
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN.499080
OH
164W00000X
Licensed Practical Nurse
152188
OH
Other
Enumeration date
01/02/2018
Last updated
07/25/2022
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