Jason D Moore
NPI #1962977595 in Fort Bragg, California
Provider Information
- NPI Number
- 1962977595
- Entity Type
- Organization
- Organization Name
- Jason D Moore
- Primary Specialty
- Acupuncturist
- Enumeration Date
- Oct 10, 2018
- Last Updated
- Oct 10, 2018
Practice Location
- Address
- 510 CYPRESS ST STE C200
- City
- Fort Bragg
- State
- California
- ZIP Code
- 95437-5411
- Phone
- (707) 964-1111
Authorized Official
- Name
- MR. JASON DAVID MOORE, LAC
- Title
- OWNER
- Phone
- (707) 964-1111
Specialties & Taxonomy Codes
| Specialty |
|---|
| Acupuncturist |
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