Individual
JABES J MORENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3906 W WASHINGTON ST, INDIANAPOLIS, IN 46241-0915
(317) 418-7571
Mailing address
6807 RIDGE CREST WAY # IB, INDIANAPOLIS, IN 46237-8822
(317) 970-3235
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
3391143
IN
Other
Enumeration date
09/04/2023
Last updated
09/04/2023
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