Jacqueline Dyan Moore, DO - Morgantown, WV

Jacqueline Dyan Moore, DO

Student in an Organized Health Care Education/Training Program in Morgantown, West Virginia

NPI 1336702638

Jacqueline Dyan Moore is a Student in an Organized Health Care Education/Training Program based in Morgantown, WV. Jacqueline Dyan Moore practices in Morgantown, WV and has the professional credentials of DO. The NPI Number for Jacqueline Dyan Moore is 1336702638 and holds a License No. (West Virginia).

The current practice location address for Jacqueline Dyan Moore is 101 Stadium Dr, Morgantown, WV and can be reached out via phone at 304-598-4850.

Location: 101 Stadium Dr, Morgantown, WV, 26506-7911

NPI Number

1336702638

Provider Name

Jacqueline Dyan Moore

Credential

Provider Entity Type

Individual

Gender

Female

Address

101 Stadium Dr, Morgantown, WV, 26506-7911

Phone Number

304-598-4850

Fax Number

Provider Enumeration Date

04/22/2019

Last Update Date

03/10/2024

Address

101 Stadium Dr

City

Morgantown

State

West Virginia

Zip

26506-7911

Phone Number

304-598-4850

Fax Number

Address

101 Stadium Dr

City

Morgantown

State

West Virginia

Zip

26506-7911

Phone Number

304-598-4850

Fax Number

Type

Student, Health Care

Classification

Student in an Organized Health Care Education/Training Program

Speciality

Taxonomy

390200000X

License No.

()

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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