Individual
JOHN JAMES MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3830 HIGGINS ST, LOVELAND, CO 80538-4960
(308) 464-0824
Mailing address
3830 HIGGINS ST, LOVELAND, CO 80538-4960
(308) 464-0824
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
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