NPI | 1275336893 |
---|---|
Professional Name | JUSTIN THOMAS MOORE |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61668130) |
Enumeration Date | 2025-03-29 |
Last Update Date | 2025-03-29 |