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Mira Moore, MD
Student in an Organized Health Care Education/Training Program in Martinez, California
NPI 1770269763

Mira Moore is a Student in an Organized Health Care Education/Training Program based in Martinez, CA. Mira Moore practices in Martinez, CA and has the professional credentials of MD. The NPI Number for Mira Moore is 1770269763 and holds a License No. (California).

The current practice location address for Mira Moore is 2500 Alhambra Ave, Martinez, CA and can be reached out via phone at 707-206-8181.

Location: 2500 Alhambra Ave, Martinez, CA, 94553-3156
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770269763
Provider Name
Mira Moore
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
2500 Alhambra Ave, Martinez, CA, 94553-3156
Phone Number
707-206-8181
Fax Number
Provider Enumeration Date
06/23/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2500 Alhambra Ave
City
Martinez
State
California
Zip
94553-3156
Phone Number
707-206-8181
Fax Number
person
Provider Business Mailing Address Details
Address
2500 Alhambra Ave
City
Martinez
State
California
Zip
94553-3156
Phone Number
707-206-8181
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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