Individual
ALLENA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
701 W CESAR ESTRADA CHAVEZ, SUITE 201, LOS ANGELES, CA 90012
(213) 217-5356
Mailing address
220 E 124TH ST, LOS ANGELES, CA 90061-2311
(310) 462-6760
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
95190792
CA
Other
Enumeration date
11/19/2021
Last updated
11/19/2021
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