Individual provider · Type 1 NPI
Jeffery Laman Moore
Rehabilitation Practitioner · Romoland, CA
NPI number
1720824808
Active
Practice location
25523 Riley Cir
Romoland, CA 92585-8885
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Rehabilitation Practitioner Primary | 225400000X | None listed |
Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
About NPI 1720824808
Jeffery Laman Moore's National Provider Identifier is 1720824808, issued on Jul 8, 2024. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Romoland, CA. The record was last updated on Oct 1, 2026.