Individual
MILLICENT GABRIELLE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 S HALE AVE SPC 54, ESCONDIDO, CA 92029-2177
(760) 729-8295
Mailing address
3170 BANCROFT DR APT 1, SPRING VALLEY, CA 91977-2669
(224) 469-5290
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
07/28/2020
Last updated
07/28/2020
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