MISS Tina Marie Moore, LPN

NPI #1528576071 in Warren, Ohio

Provider Information

NPI Number
1528576071
Entity Type
Individual
Name
MISS Tina Marie Moore, LPN
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Credential
LPN
Enumeration Date
Jan 18, 2018
Last Updated
May 24, 2018

Practice Location

Address
4930 ENTERPRISE DR NW
City
Warren
State
Ohio
ZIP Code
44481
Phone
(330) 787-0955

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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