Individual
CHANDLER MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1972 CLARK AVE, ALLIANCE, OH 44601-3929
(814) 464-4404
Mailing address
920 PINE TREE DR, GIRARD, PA 16417-1038
(814) 464-4404
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/11/2014
Last updated
09/11/2014
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