Individual
CARRIE L MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
450 E 147TH ST, CLEVELAND, OH 44110-1812
(216) 767-3404
Mailing address
450 E 147TH ST, CLEVELAND, OH 44110-1812
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
10/23/2024
Last updated
10/23/2024
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