Individual
JOHN JAMES MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
MP00179558
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MP00179558
MASTER PLUMBER
CO
Enumeration date
12/07/2016
Last updated
12/07/2016
Update your record
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