Individual
DENA MOES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, CNM
Contact information
Practice address
574 MANZANITA AVE, SUITE 5, CHICO, CA 95926-1369
(530) 828-9435
Mailing address
712 POPPY LN, PARADISE, CA 95969-3837
(530) 828-9435
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1312
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1312
RN, CNM
CA
Enumeration date
08/09/2006
Last updated
07/08/2007
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