Individual
ALICIA WEGER MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.V.N.
Contact information
Practice address
40 E MINARETS AVE, PINEDALE, CA 93650-1239
(559) 436-0482
Mailing address
40 E MINARETS AVE, PINEDALE, CA 93650-1239
(559) 436-0482
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
252775
CA
Other
Enumeration date
09/14/2010
Last updated
07/29/2015
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