Pamela June Moore in Woodland - Specialist

Pamela June Moore - NPI 1972627990

Pamela June Moore is a Specialist in Woodland, California. Pamela June Moore practices all healthcare services and medical treatments related to Specialist. The NPI Number for Pamela June Moore is 1972627990. The last update date is 2007-07-08.

Pamela June Moore's current location address is 15450 County Road 99, Woodland, California. You can contact this provider via phone number 5306689627 and fax number 5306688528. The mailing address for Pamela June Moore is 15450 County Road 99, Woodland, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Pamela June Moore
Address 15450 County Road 99, Woodland, California
Phone Number 5306689627
Fax Number 5306688528
Sole Proprietor N
Credentials RAD INTERN

NPI Number Detail

NPI Number 1972627990
Provider Enumeration Date 2007-03-16
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 15450 County Road 99
City Woodland
State California (CA)
Post Code 956959339
Phone Number 5306689627
Fax Number 5306688528

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No RS4253
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
RS4253 CA RADI

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FAQs about Pamela June Moore

What is the unique 10-digit identification code issued to Pamela June Moore by the Centers for Medicare & Medicaid Services?

The Pamela June Moore has been assigned the NPI (National Provider Identifier) 1972627990 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you kindly provide the complete physical address where Pamela June Moore's facilities are geographically located?

The facilities of Pamela June Moore are physically situated at the following location: 15450 County Road 99, Woodland, CA, 956959339.

What is Pamela June Moore's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Pamela June Moore is Specialist, and the taxonomy code that categorizes this field of expertise is 174400000X.

On what date did the Pamela June Moore receive the assignment of its 1972627990 from the Centers for Medicare & Medicaid Services?

The Pamela June Moore was issued its 1972627990 by the Centers for Medicare & Medicaid Services on 2007-03-16.

When was the information regarding Pamela June Moore, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Pamela June Moore, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.

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