Individual
JENNIFER JO MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7324 HUMBOLDT AVE, NEW PORT RICHEY, FL 34655-3207
(727) 375-7845
Mailing address
7324 HUMBOLDT AVE, NEW PORT RICHEY, FL 34655-3207
(727) 375-7845
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SI 1653
FL
Other
Enumeration date
04/20/2009
Last updated
04/20/2009
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