Individual
MOLLIE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, MSPAS, MPH
Contact information
Practice address
5800 NAVE DR STE F, NOVATO, CA 94949-6403
(415) 483-4807
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA23010
CA
Other
Enumeration date
06/14/2013
Last updated
01/20/2020
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