Individual
MS. JESSICA RENE' MOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3521 LOMITA BLVD STE 201, TORRANCE, CA 90505-5040
(310) 856-8528
Mailing address
20912 AMIE AVE APT Z, TORRANCE, CA 90503-4726
(310) 408-0252
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
6457
CA
Other
Enumeration date
02/05/2021
Last updated
02/05/2021
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