Nichole Lynn Moore, LPN

NPI #1023671963 in Dayton, Ohio

Provider Information

NPI Number
1023671963
Entity Type
Individual
Name
Nichole Lynn Moore, LPN
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Licensed Practical Nurse
Credential
LPN
Enumeration Date
Apr 16, 2019
Last Updated
Apr 16, 2019

Practice Location

Address
100 ELMWOOD PARK DR
City
Dayton
State
Ohio
ZIP Code
45449-5402
Phone
(937) 247-9015

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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