Individual
RYAN MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2041 MARTIN LUTHER KING JR AVE SE, WASHINGTON, DC 20020-7024
(202) 547-8450
(202) 388-4339
Mailing address
11816 CAPSTAN DR, UPPER MARLBORO, MD 20772-3951
(240) 223-7735
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/03/2025
Last updated
10/03/2025
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