JERRY MOORE SR.

Licensed Practical Nurse

Active Individual
NPI: 1033368790

Practice Address

417 LIBERTY ST
Springfield, MA 01104

Phone: (413) 747-0705

Specialties

Specialty Code Primary License
Licensed Practical Nurse 164W00000X Yes 33527 (MA)

Frequently Asked Questions

NPI 1033368790 is the National Provider Identifier for JERRY MOORE SR., a Licensed Practical Nurse provider located in Springfield, MA. This NPI was enumerated on September 17, 2008.
JERRY MOORE SR. practices at 417 LIBERTY ST, Springfield, MA 01104.

Quick Facts

NPI
1033368790
Type
Individual
Enumerated
Sep 17, 2008
Last Updated
Sep 17, 2008

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