Addie Moore
Addie Moore is a Student in an Organized Health Care Education/Training Program in Gardena, California. Licensed in California. Registered with an NPI since 2023.
- Licensed in
- CA
- In the registry since
- 2023
Practice location Address checks out
1149 W 190th St Ste 2200Gardena, CA 90248-4344
Phone: (310) 856-0800
Fax: (855) 568-2494
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X (CA) |
|---|
Record details
| NPI number | 1154029270 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | February 17, 2023 |
| Last updated in NPPES | July 23, 2026 |
| Certification date | July 23, 2026 |
| Mailing address | 1149 W 190th St Ste 2200, Gardena, CA 90248-4344 |
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