Search › California › 101YA0400X
Shanice Moore
NPI 1043845092 · on the registry since 2020 · sole proprietor
Practice
- Address
- 2298 Norris Ave
Crescent City, CA 95531 - Phone
- (707) 464-2919
- Organisation at this address
- United Indian Health Services, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Additional practice sites
- 1675 Northcrest Dr, Crescent City, CA
- 1600 Weeot Way, Arcata, CA
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-03-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California