Individual
ASHLEY MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
207 WHITING AVE, GLENVILLE, WV 26351-1046
(304) 266-1483
Mailing address
207 WHITING AVE, GLENVILLE, WV 26351-1046
(304) 266-1483
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
WV
Other
Enumeration date
11/12/2020
Last updated
11/12/2020
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