MISS Jacqueline Denise Moss

NPI #1407602642 in Moore, Oklahoma

Provider Information

NPI Number
1407602642
Entity Type
Individual
Name
MISS Jacqueline Denise Moss
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Prosthetist
Enumeration Date
Apr 29, 2024
Last Updated
Apr 29, 2024

Practice Location

Address
2100 N EASTERN AVE STE 8EE
City
Moore
ZIP Code
73160-5683
Phone
(802) 393-8007

Specialties & Taxonomy Codes

Specialty
Orthotic Fitter
Specialist - Prosthetics Case ManagementProsthetics Case Management
Prosthetist

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