JACKIE MOORE

Adult Companion

Active Individual
NPI: 1710455159

Practice Address

8550 UNITED PLAZA BLVD STE 702
Baton Rouge, LA 70809

Phone: (225) 963-6688

Specialties

Specialty Code Primary License
Adult Companion 372600000X Yes -

Frequently Asked Questions

NPI 1710455159 is the National Provider Identifier for JACKIE MOORE, a Adult Companion provider located in Baton Rouge, LA. This NPI was enumerated on November 4, 2018.
JACKIE MOORE practices at 8550 UNITED PLAZA BLVD STE 702, Baton Rouge, LA 70809.

Quick Facts

NPI
1710455159
Type
Individual
Enumerated
Nov 4, 2018
Last Updated
Nov 4, 2018

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