Individual
ASHLEI N MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4196 MARLOWE ST, DAYTON, OH 45416-1815
(513) 766-2405
Mailing address
4196 MARLOWE ST, DAYTON, OH 45416-1815
(513) 766-2405
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.152788-M-IV
OH
Other
Enumeration date
08/10/2013
Last updated
12/11/2014
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