Individual
JULIA SAMANTHA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1750 W 4TH ST, ONTARIO, OH 44906-1770
(419) 520-3530
Mailing address
1750 W 4TH ST, ONTARIO, OH 44906-1770
(419) 520-3530
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.023175
OH
Other
Enumeration date
07/19/2018
Last updated
01/25/2022
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