MRS. Sonya M Moore, INDEPENDENT PROVIDER

NPI #1073120630 in Ravenna, Ohio

Provider Information

NPI Number: 1073120630
Entity Type: Individual
Name: MRS. Sonya M Moore, INDEPENDENT PROVIDER
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Home Health Aide
Credential: INDEPENDENT PROVIDER
Enumeration Date: Sep 28, 2020
Last Updated: Sep 28, 2020

Practice Location

Address: 612 W HIGHLAND AVE APT 21
City: Ravenna
State: Ohio
ZIP Code: 44266-2179
Phone: (330) 913-8971

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health Aide	374U00000X	Primary

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