JACOB KELLY MOSS

DES MOINES, IA
NPI1538934120
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2023-11-24
Last Update Date2023-11-24
Business Address
JACOB KELLY MOSS PA
1200 PLEASANT ST
DES MOINES, IA 50309-1406
Phone number: 515-241-6962
Mailing Address
JACOB KELLY MOSS PA
135 FOREST VIEW DR
SAN FRANCISCO, CA 94132-1444
Phone number: 415-793-1463
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