Tyra Lynn Moore
NPI #1033708151 in Clarksburg, West Virginia
Provider Information
- NPI Number
- 1033708151
- Entity Type
- Individual
- Name
- Tyra Lynn Moore
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Technician - Personal Care Attendant
- Enumeration Date
- Jan 13, 2021
- Last Updated
- Jan 13, 2021
Practice Location
- Address
- 100 N 1ST ST
- City
- Clarksburg
- State
- West Virginia
- ZIP Code
- 26301-2714
- Phone
- (304) 624-3641
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician - Personal Care Attendant — Personal Care Attendant |
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