KENZIE JAMAL MOORE

LOS ANGELES, CA
NPI1932542636
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2013-04-11
Last Update Date2013-04-11
Business Address
Mr. KENZIE JAMAL MOORE IDC
5954 EDGEMAR AVE
LOS ANGELES, CA 90043-3452
Phone number: 323-559-1541
Mailing Address
Mr. KENZIE JAMAL MOORE IDC
5954 EDGEMAR AVE
LOS ANGELES, CA 90043-3452
Phone number: 323-559-1541
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