Individual
AMANDA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6445 VILLAGE CENTER DR, BUILDING 7 APT 101, SACRAMENTO, CA 95823
(916) 370-6913
Mailing address
1017 L ST APT 173, SACRAMENTO, CA 95814-3805
(916) 370-6913
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
09/29/2020
Last updated
09/29/2020
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