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Individual

MS. DANIELLE DANYELLE MOORE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
2400 ORANGE AVE, #94096, CLEVELAND, OH 44101-9003
(216) 269-0330
Mailing address
2400 ORANGE AVE, #94096, CLEVELAND, OH 44101-9003
(216) 269-0330

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN097093
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2179182
OH
Enumeration date
01/11/2007
Last updated
03/14/2016
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