Individual
DR. SHANNON YVETTE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
4311 3RD AVE, SAN DIEGO, CA 92103-1407
(619) 278-6533
Mailing address
4311 3RD AVE, SAN DIEGO, CA 92103-1407
(619) 278-6533
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD00038091
WA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
A51421
CA
Other
Enumeration date
09/27/2006
Last updated
07/21/2010
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