JORDAN HARRISON MOSS

BIRMINGHAM, AL
NPI1952471625
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225000000X Orthotic Fitter
Enumeration Date2006-11-09
Last Update Date2007-07-08
Business Address
Mr. JORDAN HARRISON MOSS
910 INVERNESS CORS
BIRMINGHAM, AL 35242-3785
Phone number: 205-991-3338
Mailing Address
Mr. JORDAN HARRISON MOSS
5025 GRAND ROCK RD
BIRMINGHAM, AL 35223-1647
Phone number: 205-957-1166