Jacen Moore, ATC

NPI 1962910158 · on the registry since 2018 · sole proprietor

Practice

Address: 1166 E Warner Rd Ste 101
Gilbert, AZ 85296
Phone: (480) 415-4214
Fax: (480) 415-4214
Organisation at this address: Verbwell Llc
Authentigo Health
Bond Pharmacy, Inc.
Naseeb Hospice, Llc
Malaya Health, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 30

Registry record

Primary taxonomy: Athletic Trainer
2255A2300X
Licence states on file: AZ
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2018-01-22

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 Arizona