Provider Demographics
NPI:1326614330
Name:MOORE, SABRINA E
Entity Type:Individual
Prefix:MS
First Name:SABRINA
Middle Name:E
Last Name:MOORE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:821 RAVENSWOOD ST # NA
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44306-2961
Mailing Address - Country:US
Mailing Address - Phone:330-805-0349
Mailing Address - Fax:
Practice Address - Street 1:821 RAVENSWOOD ST # NA
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44306-2961
Practice Address - Country:US
Practice Address - Phone:330-805-0349
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-01
Last Update Date:2021-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)