NPI 1003598228
Chante Alli Moore
Practice location
- Address
- 34101 Farenholt Ave, San Diego, CA 92134-7000
- Phone
- (215) 681-7866
- Mailing address
- 1370 Oro Vista Rd APT 150, San Diego, CA 92154-3172
Registered specialties
Independent Duty Corpsman
Primary
Registry record
- NPI
- 1003598228
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 7 Aug 2023
- Record last updated
- 7 Aug 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.