Individual
JEREMY MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
243 SILVER ST, POCA, WV 25159-9747
(304) 807-7488
Mailing address
243 SILVER ST, POCA, WV 25159-9747
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
08/25/2025
Last updated
08/25/2025
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