Brenton L Moore

NPI 1073633111 - Rehabilitation Practitioner - 225400000X

NPI Details
NPI 1073633111
Gender Male
Enumeration Date 03/30/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
2055 LINCOLN AVE
PASADENA CA, 91103-1324, US
Phone (626) 255-2853
Fax
Business Location
254 E WASHINGTON BLVD
109
PASADENA CA, 91104-2160, US
Phone (626) 345-0659
Fax
Toxanomy
Taxonomy Code 225400000X
License State
License Number
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According to our database, Brenton L Moore NPI is 1073633111, taxonomy code is 225400000X Brenton L Moore physically located at 2055 Lincoln Ave, Pasadena CA, 91103-1324. NPI Number Brenton L Moore has the Individual type.

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1073633111 NPI number is provided on an as is basis without warranty of any kind. 1073633111 is maintained by the National Plan & Provider Enumeration System. The contents of Brenton L Moore are for informational purposes only.