MR. Phillip Titus Moore, LPN

NPI #1376785824 in Cleveland, Ohio

Provider Information

NPI Number
1376785824
Entity Type
Individual
Name
MR. Phillip Titus Moore, LPN
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Credential
LPN
Enumeration Date
Mar 30, 2009
Last Updated
Mar 30, 2009

Practice Location

Address
14401 IDAROSE AVE
State
Ohio
ZIP Code
44110-3648
Phone
(216) 965-9273

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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