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Individual

TRISTAH MOORE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
QMHS CMS

Contact information

Practice address
1433 5TH ST NW, NEW PHILADELPHIA, OH 44663-1223
(440) 260-8300
Mailing address
1433 5TH ST NW, NEW PHILADELPHIA, OH 44663-1223

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
OH
172V00000X
Community Health Worker
Primary
OH

Other

Enumeration date
10/05/2021
Last updated
02/26/2025
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