John Lewis Moore JR.
NPI #1366275281 in Saint Paul, Minnesota
Provider Information
- NPI Number
- 1366275281
- Entity Type
- Individual
- Name
- John Lewis Moore JR.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Non-emergency Medical Transport (VAN)
- Enumeration Date
- Aug 26, 2024
- Last Updated
- Aug 26, 2024
Practice Location
- Address
- 1105 RAYMOND AVE
- City
- Saint Paul
- State
- Minnesota
- ZIP Code
- 55108-1922
- Phone
- (651) 706-9918
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-emergency Medical Transport (VAN) |
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