Individual
DASHAL MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
1498 SOLANO AVE, ALBANY, CA 94706-2148
(510) 255-1518
Mailing address
1835 COSTA AVE, SAN PABLO, CA 94806-4723
(510) 255-1518
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
16978
CA
Other
Enumeration date
05/03/2016
Last updated
05/03/2016
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