Individual provider · Type 1 NPI

Shanika Tyann Moore

Specialist · Sacramento, CA

NPI number 1861415358 Active

Practice location

3353 Bradshaw Rd, Suite 103
Sacramento, CA 95827-2607

Call (916) 854-4564 Map

Fax (916) 857-1580

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1861415358

Shanika Tyann Moore's National Provider Identifier is 1861415358, issued on Jul 25, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Sacramento, CA. The record was last updated on Jul 8, 2007.