Ophionia Moore

NPI #1013503382 in Manassas, Virginia

Provider Information

NPI Number: 1013503382
Entity Type: Individual
Name: Ophionia Moore
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Dec 21, 2020
Last Updated: Dec 21, 2020

Practice Location

Address: 8210 HANDSOME JOE LN APT 303
City: Manassas
State: Virginia
ZIP Code: 20111-7218
Phone: (240) 751-2091

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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