Individual
BREANNA MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12058 PALMDALE RD, ADELANTO, CA 92301-6708
(760) 646-7780
Mailing address
12058 PALMDALE RD, ADELANTO, CA 92301-6708
(760) 646-7780
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
83307
CA
Other
Enumeration date
10/01/2020
Last updated
10/01/2020
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