JACK P MOSS

ITHACA, NY
NPI1689982530
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: NY  439954)
Enumeration Date2010-09-14
Last Update Date2010-09-14
Business Address
-- JACK P MOSS RN
55 BROWN RD
ITHACA, NY 14850-1247
Phone number: 607-274-6604
Mailing Address
-- JACK P MOSS RN
55 BROWN RD
ITHACA, NY 14850-1247
Phone number: 607-274-6604
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