Individual
JACOB KELLY MOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1200 PLEASANT ST, DES MOINES, IA 50309-1406
(515) 241-6962
Mailing address
135 FOREST VIEW DR, SAN FRANCISCO, CA 94132-1444
(415) 793-1463
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
11/24/2023
Last updated
11/24/2023
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