Crystal Chantel Moore
NPI #1033617675 in Willoughby Hills, Ohio
Provider Information
- NPI Number
- 1033617675
- Entity Type
- Individual
- Name
- Crystal Chantel Moore
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- Jan 29, 2018
- Last Updated
- Jan 29, 2018
Practice Location
- Address
- 2260 PAR LN
- Address 2
- H 911
- City
- Willoughby Hills
- State
- Ohio
- ZIP Code
- 44094-2966
- Phone
- (910) 546-7997
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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