Individual
TRACY MOOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17273 STATE ROUTE 104, CHILLICOTHE, OH 45601-9718
(740) 773-1141
Mailing address
PO BOX 232410, SAN DIEGO, CA 92193-2410
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
35085
CA
152W00000X
Optometrist
Primary
OPT.006778
OH
Other
Enumeration date
06/11/2019
Last updated
11/23/2022
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