Individual provider · NPI-1

Jherica Moore

Respiratory Therapist, Certified · Fort Worth, TX

NPI number1891296323
StatusActive
Last updated in NPPESFeb 21, 2018

Details

NPI
1891296323
Entity type
Individual (NPI-1)
Name
Jherica Moore
Sex
Female
Sole proprietor
No
Enumeration date
Feb 21, 2018
Last updated
Feb 21, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
227800000X Respiratory Therapist, Certified––Yes

Practice location

1314 Lake St
Fort Worth, TX 76102-4581

Phone 817-810-0660

Mailing address

1314 Lake St
Fort Worth, TX 76102-4581

Phone 817-810-0660

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