Individual
CASEY NICOLE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
930 WOODLAWN AVE, NEWARK, OH 43055-2616
(740) 788-2299
Mailing address
930 WOODLAWN AVE, NEWARK, OH 43055-2616
(740) 788-2299
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
OH
Other
Enumeration date
09/13/2020
Last updated
09/13/2020
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