Individual
NIJA DIANNA MOORER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REHABILITATION SPECI
Contact information
Practice address
27591 BRUSH AVE # 11, 27591 BRUSH AVE # 11, EUCLID, OH 44132
(216) 609-8221
Mailing address
27591 BRUSH AVE # 11, 27591 BRUSH AVE # 11, EUCLID, OH 44132
(216) 609-8221
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
OH
Other
Enumeration date
02/23/2021
Last updated
02/23/2021
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