Pennie Jo Moore, LPN

NPI #1396919171 in Stout, Ohio

Provider Information

NPI Number
1396919171
Entity Type
Individual
Name
Pennie Jo Moore, LPN
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Credential
LPN
Enumeration Date
Apr 14, 2008
Last Updated
Apr 14, 2008

Practice Location

Address
9813 US HIGHWAY 52
City
Stout
State
Ohio
ZIP Code
45684-9066
Phone
(740) 858-6085

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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