Individual
MISS BRIDGETTE ANN MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1111 MEADOW THRUSH DR, CLAYTON, OH 45315-8725
(937) 248-4135
Mailing address
1111 MEADOW THRUSH DR, CLAYTON, OH 45315-8725
(937) 248-4135
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN278494
OH
Other
Enumeration date
08/08/2014
Last updated
08/08/2014
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