Jennifer Moreno Prior, PA-C

NPI #1821400490 in Hawthorne, California

Provider Information

NPI Number: 1821400490
Entity Type: Individual
Name: Jennifer Moreno Prior, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: May 29, 2014
Last Updated: Jul 5, 2018

Practice Location

Address: 4455 W 117TH ST
Address 2: #300
City: Hawthorne
State: California
ZIP Code: 90250
Phone: (310) 645-0444

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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