Individual
CAITLIN ELETTA MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4580 LIBERTY AVE, VERMILION, OH 44089-3285
(440) 967-2018
Mailing address
395 CUMMINGS RD, VERMILION, OH 44089-2213
(419) 202-4191
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
09214109
OH
Other
Enumeration date
03/15/2023
Last updated
03/15/2023
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