Individual
JACQUELINE M MOYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
8577 E MARKET ST, WARREN, OH 44484-2345
(330) 856-6663
(330) 856-1581
Mailing address
2980 BELMONT AVE, YOUNGSTOWN, OH 44505-1834
(330) 759-0276
(330) 759-0030
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN.092903.MEDS-IV
OH
Other
Enumeration date
11/11/2021
Last updated
11/11/2021
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