Individual
JILL PAMELA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CHES
Contact information
Practice address
9709 BEAVER FALLS RD., BEAVER FALLS, NY 13305
(315) 777-0391
Mailing address
PO BOX 1, BEAVER FALLS, NY 13305-0001
(315) 777-0391
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
33299
NY
Other
Enumeration date
02/06/2020
Last updated
02/06/2020
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