Individual
DEBORAH ANNE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
27400 HESPERIAN BLVD, MED 11/ONCOLOGY, HAYWARD, CA 94545-4235
(510) 784-2848
(510) 784-2076
Mailing address
27400 HESPERIAN BLVD # 11, HAYWARD, CA 94545-4235
(510) 784-2848
(510) 784-2076
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
217576
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
217576
RN LICENSE
CA
Enumeration date
09/26/2006
Last updated
07/08/2007
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