MR. Willie Moore
NPI #1710048913 in Vallejo, California
Provider Information
- NPI Number
- 1710048913
- Entity Type
- Individual
- Name
- MR. Willie Moore
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Dec 12, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1027 ALABAMA ST
- City
- Vallejo
- State
- California
- ZIP Code
- 94590-4511
- Phone
- (707) 558-1600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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