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NPI Code Detail

MEDICARE: JULAINE MOORE

MEDICARE:   JULAINE  MOORE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1164X00000XLicensed Vocational Nurse721532CA

General Provider Information

NPI Number : 1518844216
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULAINE MOORE
Provider Business Mailing Address
First Line : 2181 TICE VALLEY BLVD
Second Line :
City : WALNUT CREEK
State : CA
Zip : 94595-2505
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2181 TICE VALLEY BLVD
Second Line :
City : WALNUT CREEK
State : CA
Zip : 94595-2505
Country : US
Telephone Number : 925-470-0747
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2025
Last Update Date : 08/18/2025

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Directions to “ JULAINE MOORE ” Practice Location

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