Individual
CHERYL ANN MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
89 PARK ST, MARSHALLVILLE, OH 44645-9772
(330) 855-3152
Mailing address
89 PARK ST, MARSHALLVILLE, OH 44645-9772
(330) 855-3152
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2654891
—
OH
Enumeration date
08/16/2011
Last updated
09/19/2011
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