Individual
MRS. MARY ELLEN MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6245 COLDSTREAM DR, HIGHLAND HEIGHTS, OH 44143-3703
(216) 798-1121
Mailing address
6245 COLDSTREAM DR, HIGHLAND HEIGHTS, OH 44143-3703
(216) 798-1121
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
05/15/2024
Last updated
05/15/2024
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