Individual
JORDAN ALEXANDER MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4032 KNOLLBROOK DR NW, HUNTSVILLE, AL 35810-1832
(256) 694-5688
Mailing address
4032 KNOLLBROOK DR NW, HUNTSVILE, AL 35810-1832
(256) 694-5688
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
—
—
Other
Enumeration date
03/19/2018
Last updated
03/19/2018
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