Individual
CISCO MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4300 LYNN RD STE 201, RAVENNA, OH 44266-7838
(216) 264-0008
Mailing address
268 E LODS ST, AKRON, OH 44304-1110
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/12/2021
Last updated
02/12/2021
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