Individual
MS. AZAM SAYAHI-MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6250 THORNTON AVE, NEWARK, CA 94560-3747
(510) 791-1600
(510) 791-1347
Mailing address
2333 MOWRY AVE STE 300, FREMONT, CA 94538-1626
(510) 796-0222
(510) 796-7760
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
353018
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
353018
RN LICENSE
CA
Enumeration date
10/03/2018
Last updated
10/03/2018
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