Individual
LAQUEDIA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6 S 2ND ST STE 824, HAMILTON, OH 45011-2869
(513) 737-1782
Mailing address
6033 TYLER POINT DR, FAIRFIELD TOWNSHIP, OH 45011-2177
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
07/17/2019
Last updated
07/17/2019
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