Individual
MS. LONDA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CAREGIVER
Contact information
Practice address
1923 APACHE AVE, SOUTH LAKE TAHOE, CA 96150-4821
(530) 573-1632
Mailing address
2209 BENNETT AVE, CARSON CITY, NV 89701-6551
(775) 220-2091
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
01/03/2007
Last updated
04/19/2023
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