Individual
MRS. JENNIFER MARIE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, NRP
Contact information
Practice address
750 RIDGE RD, MONMOUTH JUNCTION, NJ 08852-2725
(732) 329-4044
Mailing address
210 FRONT ST, MOUNT HOLLY, NJ 08060-1151
(609) 280-4086
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00116200
NJ
Other
Enumeration date
08/28/2019
Last updated
08/28/2019
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