Jade Tailyr Moore
Student in an Organized Health Care Education/Training Program in Bakersfield, CA. Individual provider (NPI-1).
NPI number1982154902
StatusActive
Last updated in NPPESOct 13, 2016
Details
- NPI
- 1982154902
- Entity type
- Individual (NPI-1)
- Name
- Jade Tailyr Moore
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 13, 2016
- Last updated
- Oct 13, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
| 171M00000X | Case Manager/Care Coordinator | – | – |
Practice location
2525 N Chester AveBakersfield, CA 93308-1770
Phone 800-991-5272 · Fax 661-868-1839
Mailing address
Po Box 1000Bakersfield, CA 93302-1000
Phone 661-868-6601 · Fax 661-868-6666
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All 565 Student in an Organized Health Care Education/Training Program providers in Bakersfield · All 14,569 providers in Bakersfield
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