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Kendall Edward Moulds
Child & Adolescent Psychiatric/Mental Health Registered Nurse in El Sobrante, California
NPI 1194459636

Kendall Edward Moulds is a Child & Adolescent Psychiatric/Mental Health Registered Nurse based in El Sobrante, CA and is specialized in Psychiatric/Mental Health, Child & Adolescent. Kendall Edward Moulds practices in El Sobrante, CA. The NPI Number for Kendall Edward Moulds is 1194459636 and holds a License No. 95127445 (California).

The current practice location address for Kendall Edward Moulds is 4892 San Pablo Dam Rd, El Sobrante, CA and can be reached out via phone at 510-243-2360.

Location: 4892 San Pablo Dam Rd, El Sobrante, CA, 94803-3222
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194459636
Provider Name
Kendall Edward Moulds
Credential
Provider Entity Type
Individual
Gender
Male
Address
4892 San Pablo Dam Rd, El Sobrante, CA, 94803-3222
Phone Number
510-243-2360
Fax Number
Provider Enumeration Date
07/11/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4892 San Pablo Dam Rd
City
El Sobrante
State
California
Zip
94803-3222
Phone Number
510-243-2360
Fax Number
person
Provider Business Mailing Address Details
Address
4892 San Pablo Dam Rd
City
El Sobrante
State
California
Zip
94803-3222
Phone Number
510-243-2360
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health, Child & Adolescent
Taxonomy
163WP0807X
License No.
95127445 (California)
Definition
Definition to come...
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