Individual
CASSANDRA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
768 PLEASANT VALLEY RD, STE 304, DIAMOND SPRINGS, CA 95619
(530) 621-9800
(530) 621-9804
Mailing address
PO BOX 213, GRIZZY FLATS, CA 95636
(530) 621-9800
(530) 621-9804
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/20/2010
Last updated
10/23/2018
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