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JAWARE MOORE

>> Case Manager/Care Coordinator >> Other Service Providers

Registrant NPI Number: 1215478045

Individual Registrant:
 JAWARE  MOORE 
Gender: M
Not Sole Proprietor

Location and contact information for practice:
505 M ST  RIO LINDA, CA 95673-2218 US
Tel: 916-287-4067  Fax: 916-287-4068

Contact information for business:
505 M ST  RIO LINDA, CA 95673-2218 US
Tel: 916-287-4067  Fax: 916-287-4068

Registration Information:
NPI: 1215478045
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y171M00000XOther Service Providers
Case Manager/Care Coordinator

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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