Provider Demographics
NPI:1669227377
Name:MOISEYEVA, CLARA ALEKS (GC)
Entity type:Individual
Prefix:
First Name:CLARA
Middle Name:ALEKS
Last Name:MOISEYEVA
Suffix:
Gender:F
Credentials:GC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5676 SPRINGBURN DR
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43017-9437
Mailing Address - Country:US
Mailing Address - Phone:614-753-9846
Mailing Address - Fax:
Practice Address - Street 1:2123 AUBURN AVE STE 723
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45219-2906
Practice Address - Country:US
Practice Address - Phone:513-585-4748
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-17
Last Update Date:2024-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS