Individual
MORGAN MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SPECIALIST
Contact information
Practice address
301 GEORGIA ST STE 375, VALLEJO, CA 94590-5985
(707) 563-5606
Mailing address
301 GEORGIA ST STE 375, VALLEJO, CA 94590-5985
(707) 563-5606
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
KK570494
CA
Other
Enumeration date
08/08/2022
Last updated
08/08/2022
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