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Roseana Moore

Technician, Personal Care Attendant in Belington, WV. Individual provider (NPI-1).

NPI number1407445372
StatusActive
Last updated in NPPESJan 26, 2021

Details

NPI
1407445372
Entity type
Individual (NPI-1)
Name
Roseana Moore
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 14, 2021
Certification date
Jan 26, 2021
Last updated
Jan 26, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3747P1801X Technician, Personal Care Attendant––Yes

Practice location

12 S Crim Ave
Belington, WV 26250-8345

Phone 304-823-0223

Mailing address

Po Box 92
Belington, WV 26250-0092

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