Individual
LYNDA JOY MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1655 N MAIN ST, WALNUT CREEK, CA 94596-4680
(800) 890-4374
Mailing address
1655 N MAIN ST, WALNUT CREEK, CA 94596-4680
(800) 890-4374
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
235973
CA
Other
Enumeration date
01/25/2013
Last updated
01/25/2013
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