Jay Austin Moore

NPI #1053924365 in Huntington, West Virginia

Provider Information

NPI Number: 1053924365
Entity Type: Individual
Name: Jay Austin Moore
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Aug 26, 2020
Last Updated: Aug 26, 2020

Practice Location

Address: 1538 CHARLESTON AVE
City: Huntington
State: West Virginia
ZIP Code: 25701
Phone: (304) 696-7302

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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