Individual
CONNIE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1614 SOUTH KANAWHA ST, BECKLEY, WV 25801
(304) 255-1397
Mailing address
1614 SOUTH KANAWHA ST, BECKLEY, WV 25801
(304) 255-1397
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
10/29/2024
Last updated
10/29/2024
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