SearchOhio164W00000X

Pennie Moore, LPN

NPI 1396919171 · on the registry since 2008 · sole proprietor

Practice

Address
9813 Us Highway 52
Stout, OH 45684
Phone
(740) 858-6085

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2008-04-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio