Individual
JUANITA A MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
39000 BOB HOPE DR, EMERGENCY DEPARTMENT, RANCHO MIRAGE, CA 92270-3221
(760) 773-1221
Mailing address
39000 BOB HOPE DR, EMERGENCY DEPARTMENT, RANCHO MIRAGE, CA 92270-3221
(760) 773-1221
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA20555
CA
Other
Enumeration date
10/22/2009
Last updated
12/14/2015
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