Individual
MS. DIANE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
STNA
Contact information
Practice address
454 BARCLAY SQ W, COLUMBUS, OH 43209-1129
(614) 313-7832
Mailing address
454 BARCLAY SQ W, COLUMBUS, OH 43209-1129
(614) 313-7832
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
Primary
401669780714
OH
Other
Enumeration date
06/13/2016
Last updated
06/14/2016
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