Jessica Anne Lopez-moore PAC

NPI 1366623407 - Physician Assistant - 363A00000X

NPI Details
NPI 1366623407
Gender Female
Enumeration Date 11/16/2007
Last Updated 11/14/2012
Entity Type Individual
Active Over 9 years ago
Practice Location
300 OLD RIVER RD
SUITE 105
BAKERSFIELD CA, 93311-9503, US
Phone (661) 663-4700
Fax (661) 663-4740
Business Location
300 OLD RIVER RD
SUITE 105
BAKERSFIELD CA, 93311-9503, US
Phone (661) 663-4700
Fax (661) 663-4740
Toxanomy
Taxonomy Code 363A00000X
License State California
License Number PA 19378
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According to our database, Mrs. Jessica Anne Lopez-moore PAC NPI is 1366623407, taxonomy code is 363A00000X and license number is PA 19378, license state is located at California. Jessica Anne Lopez-moore PAC physically located at 300 Old River Rd, Bakersfield CA, 93311-9503. NPI Number Jessica Anne Lopez-moore PAC has the Individual type.

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1366623407 NPI number is provided on an as is basis without warranty of any kind. 1366623407 is maintained by the National Plan & Provider Enumeration System. The contents of Jessica Anne Lopez-moore PAC are for informational purposes only.