MARDIE MOORE

Community Health Worker

Active Individual
NPI: 1487317640

Practice Address

930 66TH AVE APT 208
Oakland, CA 94621

Phone: (510) 828-3737

Specialties

Specialty Code Primary License
Counselor - Mental Health 101YM0800X No 101YMO800X (CA)
Community Health Worker 172V00000X Yes -

Frequently Asked Questions

NPI 1487317640 is the National Provider Identifier for MARDIE MOORE, a Community Health Worker provider located in Oakland, CA. This NPI was enumerated on October 14, 2021.
MARDIE MOORE practices at 930 66TH AVE APT 208, Oakland, CA 94621.

Quick Facts

NPI
1487317640
Type
Individual
Enumerated
Oct 14, 2021
Last Updated
May 15, 2023

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