Individual
MOE JERRAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RCFE
Contact information
Practice address
525 N CAROUSEL PL, ANAHEIM, CA 92806-3206
(714) 809-4444
(714) 333-4412
Mailing address
525 N CAROUSEL PL, ANAHEIM, CA 92806-3206
(714) 809-4444
(714) 333-4412
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
—
—
374U00000X
Home Health Aide
Primary
6039504740
CA
Other
Enumeration date
08/14/2017
Last updated
02/03/2024
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