JOHNATHAN MOORE

CLAY, WV
NPI1912595562
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2021-01-08
Last Update Date2021-01-08
Business Address
JOHNATHAN MOORE
172 MAIN STREET
CLAY, WV 25043-2504
Phone number: 304-587-4251
Mailing Address
JOHNATHAN MOORE
PO BOX 655
CLAY, WV 25043-0655
Phone number:
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