Jacob Ryan Moore
Jacob Ryan Moore is a Licensed Vocational Nurse in Fair Oaks, California. Licensed in California. Registered with an NPI since 2024.
- Licensed in
- CA
- In the registry since
- 2024
Practice location Address checks out
10821 Fair Oaks BlvdFair Oaks, CA 95628-7214
Phone: (916) 903-7028
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Licensed Vocational Nurse (primary) | Taxonomy 164X00000X · Licence 722770 (CA) |
|---|
Record details
| NPI number | 1346008844 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 8, 2024 |
| Last updated in NPPES | March 8, 2024 |
| Certification date | March 7, 2024 |
| Mailing address | 2609 K St Apt 11, Sacramento, CA 95816-5112 |
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