| 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 |