Individual
MS. GLENDA IRENE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2505 W 14TH ST, OAKLAND, CA 94607-5031
(510) 587-3400
Mailing address
306 MERCURY WAY, PLEASANT HILL, CA 94523-2185
(925) 676-0743
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
514085
CA
Other
Enumeration date
11/30/2005
Last updated
10/14/2015
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