Individual
MR. JOB M MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3322 BROADWAY, EVERETT, WA 98201-4425
(425) 349-8397
Mailing address
PO BOX 3810, EVERETT, WA 98213-8810
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
NC10041043
WA
Other
Enumeration date
07/12/2012
Last updated
07/12/2012
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