Individual
DANIEL MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6368 MARATEA AVE, LAS VEGAS, NV 89130-2111
(702) 331-7699
(702) 550-4872
Mailing address
3920 W ANN RD STE 100, NORTH LAS VEGAS, NV 89031-3840
(702) 550-6700
(702) 550-6700
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
06/25/2018
Last updated
06/25/2018
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