Individual
DEJUAN JP MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RD, RDN
Contact information
Practice address
415 PISGAH CHURCH ROAD PMB 321, GREENSBORO, NC 27455-2590
(336) 609-0963
Mailing address
415 PISGAH CHURCH ROAD PMB 321, GREENSBORO, NC 27455-2590
(336) 609-0963
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L006686
NC
Other
Enumeration date
07/28/2022
Last updated
07/28/2022
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