Individual
BRANDON MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14119 PINE FOREST DR APT 312, NORTH ROYALTON, OH 44133-5042
(216) 712-5085
Mailing address
14119 PINE FOREST DR APT 312, NORTH ROYALTON, OH 44133-5042
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
400531
OH
Other
Enumeration date
06/26/2019
Last updated
06/26/2019
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