Individual
LATASHA MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4520 PONY CT, ANTIOCH, CA 94531-9320
(510) 258-9331
Mailing address
4520 PONY CT, ANTIOCH, CA 94531-9320
(510) 258-9331
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
05/29/2023
Last updated
05/29/2023
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