| Jacob Ryan Moore, | |
|
10821 Fair Oaks Blvd, Fair Oaks, CA 95628-7214 | |
| (916) 903-7028 | |
| Not Available |
| Full Name | Jacob Ryan Moore |
|---|---|
| Gender | Male |
| Speciality | Licensed Vocational Nurse |
| Location | 10821 Fair Oaks Blvd, Fair Oaks, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346008844 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164X00000X | Licensed Vocational Nurse | 722770 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob Ryan Moore, 2609 K St Apt 11, Sacramento, CA 95816-5112 Ph: (916) 230-5613 | Jacob Ryan Moore, 10821 Fair Oaks Blvd, Fair Oaks, CA 95628-7214 Ph: (916) 903-7028 |
Lisa Keeley, LVN Licensed Vocational Nurse Medicare: Not Enrolled in Medicare Practice Location: 8946 Madison Ave, Fair Oaks, CA 95628 Phone: 530-305-3384 | |
Suzanne Jackson, LVN Licensed Vocational Nurse Medicare: Not Enrolled in Medicare Practice Location: 8086 Orange Ave, Fair Oaks, CA 95628 Phone: 209-764-0817 | |
Brandon Joseph Reza, LVN Licensed Vocational Nurse Medicare: Not Enrolled in Medicare Practice Location: 8086 Orange Ave, Fair Oaks, CA 95628 Phone: 916-534-7453 | |
Lisa Iwanyczko, LVN Licensed Vocational Nurse Medicare: Not Enrolled in Medicare Practice Location: 8946 Madison Ave, Fair Oaks, CA 95628 Phone: 916-438-9569 | |
Krystal Pettit, LVN Licensed Vocational Nurse Medicare: Not Enrolled in Medicare Practice Location: 8534 Fairmont Way, Fair Oaks, CA 95628 Phone: 916-965-3821 | |
Delaney Swanson, LVN Licensed Vocational Nurse Medicare: Not Enrolled in Medicare Practice Location: 8086 Orange Ave, Fair Oaks, CA 95628 Phone: 530-908-3839 |