Individual
MR. RON ALAN MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
4960 HIDDENVIEW CT, NORTH RIDGEVILLE, OH 44039-5015
(440) 225-9443
Mailing address
4960 HIDDENVIEW CT, NORTH RIDGEVILLE, OH 44039-5015
(440) 225-9443
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
349292
OH
163WM0705X
Medical-Surgical Registered Nurse
Primary
349292
OH
373H00000X
Day Training/Habilitation Specialist
349292
OH
Other
Enumeration date
12/14/2016
Last updated
12/14/2016
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