Individual
MR. NATHANAEL ROBERT MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
118 TORY CIR, ENOLA, PA 17025-2678
(717) 919-6358
Mailing address
118 TORY CIR, ENOLA, PA 17025-2678
(717) 919-6358
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/29/2009
Last updated
08/29/2009
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