Individual
MRS. CHANDELL MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN,PHN,BSN
Contact information
Practice address
11484 B AVE, AUBURN, CA 95603-2603
(530) 886-3624
Mailing address
3220 HUME GLENN DR, PLACERVILLE, CA 95667-8397
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
95025744
CA
Other
Enumeration date
03/23/2015
Last updated
03/23/2015
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