Individual
JORDAN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 GALLOWAY DRIVE, HAMMOND, LA 70402-0001
(985) 549-2253
Mailing address
2139 POWERBROOK DR, BATON ROUGE, LA 70816-2972
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/12/2019
Last updated
03/12/2019
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