Individual provider · Type 1 NPI
Geneva A. Moorad
Voluntary or Charitable Agency · Manteca, CA
NPI number
1144038688
Active
Practice location
413 Villa Ticino Dr
Manteca, CA 95337-6457
Mailing address
211 Dorris Pl
Stockton, CA 95204-5252
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chore Provider | 372500000X | None listed |
| Voluntary or Charitable Agency Primary | 251V00000X | None listed |
Voluntary or Charitable Agency: Definition to come...
About NPI 1144038688
Geneva A. Moorad's National Provider Identifier is 1144038688, issued on Dec 30, 2024. The primary taxonomy on file is Voluntary or Charitable Agency (251V00000X), and the practice location is in Manteca, CA. The record was last updated on Dec 30, 2024.