Search › California › 106S00000X
Jordan Moultrie
NPI 1104675719 · on the registry since 2024
Practice
- Address
- 1508 W. Artesia Square
Suite B
Gardenia, CA 90248 - Phone
- (800) 249-1266
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-05-15
- Status
- Not present in the most recent federal file
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California