Individual
DENISE RAYNE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16835 JUDY WAY, CERRITOS, CA 90703-2861
(562) 394-3359
Mailing address
16835 JUDY WAY, CERRITOS, CA 90703-2861
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95098633
CA
Other
Enumeration date
05/13/2022
Last updated
05/13/2022
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