Individual
GENEVA A MOORAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
413 VILLA TICINO DR, MANTECA, CA 95337-6457
(209) 990-8733
Mailing address
211 DORRIS PL, STOCKTON, CA 95204-5252
(209) 900-8733
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
372500000X
Chore Provider
—
—
Other
Enumeration date
12/30/2024
Last updated
12/30/2024
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