Individual
JESSICA LEAH MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2144 E CENTER LN APT 2, TEMPE, AZ 85281-7723
(623) 261-2178
Mailing address
2144 E CENTER LN APT 2, TEMPE, AZ 85281-7723
(623) 261-2178
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
01/04/2021
Last updated
01/04/2021
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