MR. Josh Moore SR., OWNER
NPI #1093186801 in Canoga Park, California
Provider Information
- NPI Number
- 1093186801
- Entity Type
- Individual
- Name
- MR. Josh Moore SR., OWNER
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Home Health
- Credential
- OWNER
- Enumeration Date
- Oct 19, 2015
- Last Updated
- Oct 19, 2015
Practice Location
- Address
- 8735 INDEPENDENCE AVE
- Address 2
- 73
- City
- Canoga Park
- State
- California
- ZIP Code
- 91304-6217
- Phone
- (310) 867-1232
Specialties & Taxonomy Codes
| Specialty |
|---|
| Home Health |
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