Individual
AMBER DAWN MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
S.T.N.A
Contact information
Practice address
208 E JEFFERSON ST LOT 2, NEW LEXINGTON, OH 43764-1076
(740) 621-1605
Mailing address
208 E JEFFERSON ST LOT 2, NEW LEXINGTON, OH 43764-1076
(740) 621-1605
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
379740710401
OH
Other
Enumeration date
12/13/2013
Last updated
12/13/2013
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