Individual
AMANDA KIANA MOISA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1131 COMMUNITY PKWY, HOLLISTER, CA 95023-2816
(831) 636-4020
Mailing address
1131 COMMUNITY PKWY, HOLLISTER, CA 95023-2816
(831) 636-4020
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
09/27/2023
Last updated
08/05/2025
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