Organization
HOPEWELL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CARLENE A MOORE (REGISTERED NURSE)
(530) 873-0830
Entity
Organization
Contact information
Practice address
14706 JULLIARD CT, MAGALIA, CA 95954-9636
(530) 873-0830
Mailing address
PO BOX 1143, PARADISE, CA 95967-1143
(530) 873-0830
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
251108
CA
Other
Enumeration date
07/22/2010
Last updated
07/22/2010
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