Individual
LATONYA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
120 COMMONWEALTH AVE NE, MASSILLON, OH 44646-4243
(330) 445-0144
Mailing address
120 COMMONWEALTH AVE NE, MASSILLON, OH 44646-4243
(330) 445-0144
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
OH
Other
Enumeration date
08/04/2022
Last updated
08/04/2022
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