Individual
JANELL LA JUNE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4654 E AVENUE S STE B-136, PALMDALE, CA 93552-4454
(626) 625-4196
Mailing address
4654 E AVENUE S STE B-136, PALMDALE, CA 93552-4454
(626) 625-4196
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
725521
CA
Other
Enumeration date
02/23/2023
Last updated
02/23/2023
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