Individual
MARY MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1094 W MAIN ST, SALEM, WV 26426-7502
(304) 841-2243
Mailing address
1094 W MAIN ST, SALEM, WV 26426-7502
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
03/18/2025
Last updated
03/18/2025
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