Javon Allen Moore

NPI #1093189045 in La Verne, California

Provider Information

NPI Number
1093189045
Entity Type
Individual
Name
Javon Allen Moore
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Rehabilitation Practitioner
Enumeration Date
Nov 13, 2015
Last Updated
Nov 13, 2015

Practice Location

Address
233 BASELINE RD
ZIP Code
91750-2353
Phone
(909) 833-2986

Specialties & Taxonomy Codes

Specialty
Rehabilitation Practitioner

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