Individual
MARCIA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3682 BOUDINOT AVE, CINCINNATI, OH 45211-4938
(317) 490-9270
Mailing address
PO BOX 11323, CINCINNATI, OH 45211-0323
(317) 490-9270
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
4523201
OH
Other
Enumeration date
07/07/2023
Last updated
07/07/2023
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