Individual
KATHRYN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 E MAIN ST STE 201, GRASS VALLEY, CA 95945-5853
(530) 273-2244
Mailing address
900 E MAIN ST STE 201, GRASS VALLEY, CA 95945-5853
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
02/12/2025
Last updated
08/08/2025
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