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Contact Information

DARA S MOORE
6557 PARK RIVIERA WAY
SACRAMENTO, CA95831
 Phone: 916-889-3962
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Private Vehicle

347C00000X
Indicates primary specialty

NPI Profile & details for DARA S MOORE · (Female)

NPI # 1548849011
Status Active
Credentials
Entity Individual
Enumeration date 04/03/2021
Last updated 04/03/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 1049380
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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