Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | A98139 | CA |
NPI | 1053539072 |
---|---|
Provider Name | Dr. Jennifer Dorothy Moore |
First Address | Pleasant Hill, CA 94523-4316 |
Second Address | Pleasant Hill, CA 94523-4316 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/04/2007 |
Last Update Date | 02/08/2007 |