JONATHAN BYREL MOORE-NORTHROP

UKIAH, CA
NPI1417430471
Other NameJONATHAN MOORE
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: CA  53107)
Enumeration Date2018-09-14
Last Update Date2026-08-17
Business Address
JONATHAN BYREL MOORE-NORTHROP
201 BRUSH ST
UKIAH, CA 95482-3424
Phone number: 707-462-6290
Mailing Address
JONATHAN BYREL MOORE-NORTHROP
100 W SMITH ST APT 1
UKIAH, CA 95482-4357
Phone number: 707-462-6290
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