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Individual

BRENDA MORES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
3101 LAKE FOREST RD, TAHOE CITY, CA 96145-2336
(530) 363-7016
Mailing address
PO BOX 6364, TAHOE CITY, CA 96145-6364
(530) 363-7016

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95029625
CA

Other

Enumeration date
04/03/2024
Last updated
04/22/2024
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