Individual
MISS CYNTHIA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
741 CHARLES E YOUNG DR S, LOS ANGELES, CA 90095-4685
(310) 208-3984
Mailing address
3705 W PICO BLVD, LOS ANGELES, CA 90019-3451
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
000000000
CA
Other
Enumeration date
08/03/2017
Last updated
02/25/2025
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