Individual
ENGRET MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
629 OAKLAND AVE, OAKLAND, CA 94611-4567
(510) 613-0330
Mailing address
1814 FRANKLIN ST, OAKLAND, CA 94612-3487
(510) 613-0330
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/02/2015
Last updated
02/02/2015
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