DUSTIN MOORE

LOUISA, KY
NPI1811533102
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy175T00000X Peer Specialist
Enumeration Date2019-11-21
Last Update Date2021-04-19
Business Address
DUSTIN MOORE
60 PROFESSIONAL PARK DR
LOUISA, KY 41230-9644
Phone number: 606-329-8588
Mailing Address
DUSTIN MOORE
PO BOX 790
ASHLAND, KY 41105-0790
Phone number: 606-329-8588