Individual
YOLANDA JOY MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
2823 FRESNO ST, FRESNO, CA 93721-1324
(559) 499-6440
Mailing address
2625 E DIVISADERO ST, FRESNO, CA 93721-1431
(559) 443-2682
(559) 443-2681
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
19267
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00785472
RAILROAD MEDICARE
CA
Enumeration date
07/17/2007
Last updated
03/07/2023
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