Lavon Rena Moore NURSE

NPI 1154639805 - Licensed Vocational Nurse - 164X00000X

NPI Details
NPI 1154639805
Gender Female
Enumeration Date 09/15/2010
Last Updated 09/15/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
19081 WATERCREST AVENUE
MAPLE HEIGHTS OH, 44137, US
Phone (216) 662-6045
Fax (216) 662-6055
Business Location
19081 WATERCREST AVE
MAPLE HEIGHTS OH, 44137-3150, US
Phone (216) 816-6045
Fax (126) 662-6055
Toxanomy
Taxonomy Code 164X00000X
License State Ohio
License Number PN-121466
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According to our database, Mrs. Lavon Rena Moore NURSE NPI is 1154639805, taxonomy code is 164X00000X and license number is PN-121466, license state is located at Ohio. Lavon Rena Moore NURSE physically located at 19081 Watercrest Avenue, Maple Heights OH, 44137. NPI Number Lavon Rena Moore NURSE has the Individual type.

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1154639805 NPI number is provided on an as is basis without warranty of any kind. 1154639805 is maintained by the National Plan & Provider Enumeration System. The contents of Lavon Rena Moore NURSE are for informational purposes only.