NPI 1023783818

Deanna Moore

Practitioner Private Vehicle Antioch, CA

Practice location

Address: 724 I St APT a, Antioch, CA 94509-1592
Phone: (510) 328-8747

Registered specialties

Private Vehicle Primary

Transportation Services Taxonomy 347C00000X Licence 8NPE171 (CA)

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Registry record

NPI: 1023783818
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Aug 2021
Record last updated: 12 Aug 2021

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.