Search › Delaware › 171WH0202X
Jimmy Moon
NPI 1992170211 · on the registry since 2015 · sole proprietor
Practice
- Address
- 16541 Sweetwater Dr
Milton, DE 19968 - Phone
- (302) 500-0950
Registry record
- Primary taxonomy
- 171WH0202X
171WH0202X
- Licence states on file
- DE
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-12-11
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 Delaware