Individual
CARRIE LEE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8100 RAVINES EDGE CT STE 200, COLUMBUS, OH 43235-5426
(614) 985-3112
(614) 317-4689
Mailing address
8100 RAVINES EDGE CT STE 200, COLUMBUS, OH 43235-5426
(614) 985-3112
(614) 317-4689
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
174577
OH
Other
Enumeration date
02/06/2023
Last updated
02/06/2023
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