Individual
CHASITY MARIE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
785 TAYLOR HILL RD UNIT B, MINFORD, OH 45653-8960
(740) 357-5381
Mailing address
785 TAYLOR HILL RD UNIT B, MINFORD, OH 45653-8960
(740) 357-5381
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
RR429171
OH
Other
Enumeration date
06/12/2023
Last updated
06/12/2023
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