Individual
MICHAEL MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8813 COPLEY RD, WESTON, WV 26452-7295
(304) 639-0954
Mailing address
PO BOX 794, WESTON, WV 26452-0794
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
03/18/2025
Last updated
03/18/2025
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