Individual
JEFFREY MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1470 E CALVADA BLVD, PAHRUMP, NV 89048-3905
(775) 210-8333
Mailing address
1470 E CALVADA BLVD STE 100, PAHRUMP, NV 89048-3906
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
RN96780
NV
Other
Enumeration date
04/06/2021
Last updated
04/06/2021
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