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Mr. Keith Bronson Moore JR., LVN
Licensed Vocational Nurse in Oakland, California
NPI 1063271476

Keith Bronson Moore JR. is a Licensed Vocational Nurse based in Oakland, CA. Keith Bronson Moore JR. practices in Oakland, CA and has the professional credentials of LVN. The NPI Number for Keith Bronson Moore JR. is 1063271476 and holds a License No. VN139441 (California).

The current practice location address for Keith Bronson Moore JR. is 10429 International Blvd, Oakland, CA and can be reached out via phone at 510-777-8448.

Location: 10429 International Blvd, Oakland, CA, 94603-3221
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063271476
Provider Name
Keith Bronson Moore JR.
Credential
LVN
Provider Entity Type
Individual
Gender
Male
Address
10429 International Blvd, Oakland, CA, 94603-3221
Phone Number
510-777-8448
Fax Number
Provider Enumeration Date
03/18/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
10429 International Blvd
City
Oakland
State
California
Zip
94603-3221
Phone Number
510-777-8448
Fax Number
person
Provider Business Mailing Address Details
Address
10429 International Blvd
City
Oakland
State
California
Zip
94603-3221
Phone Number
510-777-8448
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Vocational Nurse
Speciality
-
Taxonomy
164X00000X
License No.
VN139441 (California)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.
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