Individual
JENNIFER MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
260 B ST, DICKINSON, ND 58601-6105
(701) 300-3103
Mailing address
260 B ST, DICKINSON, ND 58601-6105
(701) 300-3103
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
374U00000X
Home Health Aide
Primary
37V117517062
OK
376J00000X
Homemaker
—
—
Other
Enumeration date
02/29/2024
Last updated
02/29/2024
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