Individual
RICKY VALENTINE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3578 HAYES ST NE APT 102, WASHINGTON, DC 20019-7504
(202) 215-0671
Mailing address
3578 HAYES ST NE APT 102, WASHINGTON, DC 20019-7504
(202) 215-0671
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
12/18/2019
Last updated
12/18/2019
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