Individual
HEATHER COLLEEN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNFA
Contact information
Practice address
16250 SAND CANYON AVE, IRVINE, CA 92618-3714
(949) 727-5010
Mailing address
109 MONTE VIS, IRVINE, CA 92602-2003
(559) 301-0248
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
684156
CA
Other
Enumeration date
05/23/2017
Last updated
03/17/2018
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