MR. GLEN MOORE JR.

Rehabilitation Practitioner

Active Individual
NPI: 1801235668

Practice Address

2625 S DURANGO DR
APT 201
Las Vegas, NV 89117

Phone: (313) 244-5112

Specialties

Specialty Code Primary License
Rehabilitation Practitioner 225400000X Yes -

Frequently Asked Questions

NPI 1801235668 is the National Provider Identifier for MR. GLEN MOORE JR., a Rehabilitation Practitioner provider located in Las Vegas, NV. This NPI was enumerated on June 14, 2013.
MR. GLEN MOORE JR. practices at 2625 S DURANGO DR, APT 201, Las Vegas, NV 89117.

Quick Facts

NPI
1801235668
Type
Individual
Enumerated
Jun 14, 2013
Last Updated
Jun 14, 2013

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