Jacquetta Dean Moore

NPI #1063637502 in Baltimore, Maryland

Provider Information

NPI Number
1063637502
Entity Type
Individual
Name
Jacquetta Dean Moore
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Home Health Aide
Enumeration Date
Apr 17, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
322 E 23RD ST
ZIP Code
21218-5811
Phone
(410) 499-0938

Specialties & Taxonomy Codes

Specialty
Home Health Aide

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