JACQUELINE DENISE MOSS

MOORE, OK
NPI1407602642
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224P00000X Prosthetist
Additional Taxonomies225000000X Orthotic Fitter
1744P3200X Specialist Prosthetics Case Management
Enumeration Date2024-04-29
Last Update Date2024-04-29
Business Address
MISS JACQUELINE DENISE MOSS
2100 N EASTERN AVE STE 8EE
MOORE, OK 73160-5683
Phone number: 802-393-8007
Mailing Address
MISS JACQUELINE DENISE MOSS
2100 N EASTERN AVE STE 8
MOORE, OK 73160-5684
Phone number: 802-393-8007