JOHNATHAN MOORE

Technician - Personal Care Attendant

Active Individual
NPI: 1912595562

Practice Address

172 MAIN STREET
Clay, WV 25043

Phone: (304) 587-4251

Specialties

Specialty Code Primary License
Technician - Personal Care Attendant 3747P1801X Yes -

Frequently Asked Questions

NPI 1912595562 is the National Provider Identifier for JOHNATHAN MOORE, a Technician - Personal Care Attendant provider located in Clay, WV. This NPI was enumerated on January 8, 2021.
JOHNATHAN MOORE practices at 172 MAIN STREET, Clay, WV 25043.

Quick Facts

NPI
1912595562
Type
Individual
Enumerated
Jan 8, 2021
Last Updated
Jan 8, 2021

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