Individual
MELODY ANN MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
501 E HARDY ST STE 160, INGLEWOOD, CA 90301-4033
(310) 295-0075
Mailing address
35 CLUBHOUSE AVE APT H, VENICE, CA 90291-3232
(310) 363-5295
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95030265
CA
Other
Enumeration date
05/28/2024
Last updated
05/28/2024
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