Mrs Tisha Christine Moore, LVN | |
1074 Sierra Vista Way, Chico, CA 95926-2854 | |
(530) 343-9032 | |
(530) 343-9302 |
Full Name | Mrs Tisha Christine Moore |
---|---|
Gender | Female |
Speciality | Licensed Practical Nurse |
Location | 1074 Sierra Vista Way, Chico, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679893499 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | VN162330 (California) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mrs Tisha Christine Moore, LVN 1074 Sierra Vista Way, Chico, CA 95926-2854 Ph: (530) 343-9032 | Mrs Tisha Christine Moore, LVN 1074 Sierra Vista Way, Chico, CA 95926-2854 Ph: (530) 343-9032 |
Jeremy M Utter, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 590 Rio Lindo Ave, Chico, CA 95926 Phone: 530-345-3491 | |
Susan Joy Basting, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 4776 Song Bird, Chico, CA 95973 Phone: 530-891-5442 Fax: 530-892-2979 |