Jerry Moore SR.
NPI #1033368790 in Springfield, Massachusetts
Provider Information
- NPI Number
- 1033368790
- Entity Type
- Individual
- Name
- Jerry Moore SR.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- Sep 17, 2008
- Last Updated
- Sep 17, 2008
Practice Location
- Address
- 417 LIBERTY ST
- City
- Springfield
- State
- Massachusetts
- ZIP Code
- 01104-3736
- Phone
- (413) 747-0705
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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