Individual
CANDY MOREIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 EMELINE AVE, SANTA CRUZ, CA 95060-1976
(831) 254-2774
Mailing address
1400 EMELINE AVE, SANTA CRUZ, CA 95060-1976
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95139007
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95139007
BOARD OF REGISTERED NURSES
CA
Enumeration date
12/06/2022
Last updated
12/06/2022
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