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
- City
- La Verne
- State
- California
- ZIP Code
- 91750-2353
- Phone
- (909) 833-2986
Specialties & Taxonomy Codes
| Specialty |
|---|
| Rehabilitation Practitioner |
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