Individual
MR. JOSHUA JOHN MOORE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5511 S SUNNYLANE RD APT 1, OKLAHOMA CITY, OK 73135-2460
(214) 236-6369
Mailing address
5511 S SUNNYLANE RD APT 1, OKLAHOMA CITY, OK 73135-2460
(214) 236-6369
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/27/2022
Last updated
09/27/2022
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