Individual
BRIANA R MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
421 NEIL ST, SANDUSKY, OH 44870-3714
(419) 239-6905
Mailing address
421 NEIL ST, SANDUSKY, OH 44870-3714
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
184228
OH
Other
Enumeration date
12/02/2024
Last updated
12/02/2024
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