Jacob Ryan Moore
NPI #1346008844 in Fair Oaks, California
Provider Information
- NPI Number
- 1346008844
- Entity Type
- Individual
- Name
- Jacob Ryan Moore
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Vocational Nurse
- Enumeration Date
- Mar 8, 2024
- Last Updated
- Mar 8, 2024
Practice Location
- Address
- 10821 FAIR OAKS BLVD
- City
- Fair Oaks
- State
- California
- ZIP Code
- 95628-7214
- Phone
- (916) 903-7028
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Vocational Nurse |
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