Organization
JILL MOORE LLC
Active
Other names
DeepWave Regenerative Therapy, Live Well Family Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
JILL MOORE D.C. (OWNER)
(410) 995-7312
Entity
Organization
Contact information
Practice address
21 EASTERN AVE, BEL AIR, MD 21014-3902
(410) 790-8524
Mailing address
1213 MIDWOOD CT, BEL AIR, MD 21014-2546
(410) 790-8524
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
S03572
MD
Other
Enumeration date
02/10/2009
Last updated
07/15/2026
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