Individual
CHARLES MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13 MARCH FARM WAY UNIT C, GREENLAND, NH 03840-6235
(603) 380-7174
Mailing address
354 HOLLY AVE, MANCHESTER, NH 03103-4645
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
02/12/2021
Last updated
02/12/2021
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