Individual
SARA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
3309 RENNER DR, FORTUNA, CA 95540-3119
(707) 725-6108
Mailing address
1208 MONUMENT RD, RIO DELL, CA 95562-1804
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
236333
CA
Other
Enumeration date
06/09/2023
Last updated
06/09/2023
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