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Search › California › 104100000X

Patricia Moore

NPI 1235649443 · on the registry since 2017 · sole proprietor

Practice

Address
2940 Inland Empire Blvd
Ontario, CA 91764
Phone
(909) 458-1350
Fax
(909) 931-7551
Organisation at this address
County Of San Bernardino
County Of San Bernardino
County Of San Bernardino
Inferred from a shared address, not stated in the registry.
Clinicians at this address
120

Registry record

Primary taxonomy
104100000X
104100000X
Also registered as
171M00000X
390200000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-03-14

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