Prenisha Moore Angelic Moore
NPI #1942193180 in South Gate, California
Provider Information
- NPI Number
- 1942193180
- Entity Type
- Individual
- Name
- Prenisha Moore Angelic Moore
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- May 29, 2025
- Last Updated
- May 29, 2025
Practice Location
- Address
- 5222 PENDLETON AVE APT 14
- City
- South Gate
- State
- California
- ZIP Code
- 90280-8537
- Phone
- (323) 861-4158
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetic/Orthotic Supplier |
| Durable Medical Equipment & Medical Supplies |
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