Individual
JODIAN DAINER MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
192 NORFOLK ST, WEST HAVEN, CT 06516-2559
(203) 909-8400
Mailing address
192 NORFOLK ST, WEST HAVEN, CT 06516-2559
(203) 909-8400
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
152451
CT
Other
Enumeration date
11/14/2024
Last updated
11/14/2024
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