Young Ja Moore NP

NPI 1295038222 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1295038222
Gender Female
Enumeration Date 12/14/2010
Last Updated 12/14/2010
Entity Type Individual
Active Over 5 years ago
Practice Location
3506 21ST ST
SUITE 605
LUBBOCK TX, 79410-1212, US
Phone (806) 725-4130
Fax (806) 723-7137
Business Location
3420 22ND PL
LUBBOCK TX, 79410-1314, US
Phone (806) 725-5844
Fax (806) 723-6532
Toxanomy
Taxonomy Code 363L00000X
License State Texas
License Number 739473
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According to our database, Young Ja Moore NP NPI is 1295038222, taxonomy code is 363L00000X and license number is 739473, license state is located at Texas. Young Ja Moore NP physically located at 3506 21st St, Lubbock TX, 79410-1212. NPI Number Young Ja Moore NP has the Individual type.

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1295038222 NPI number is provided on an as is basis without warranty of any kind. 1295038222 is maintained by the National Plan & Provider Enumeration System. The contents of Young Ja Moore NP are for informational purposes only.