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NPI 1154774214

IndividualActive

Sandra Moore

NPI 1154774214 · Technician · Phoenix, AZ

Provider details

NPI number: 1154774214
Entity type: Individual
Primary specialty: TechnicianNursing Service Related Providers
Sex: Female
Sole proprietor: No

Practice location

4212 N 16th St

Phoenix, AZ 85016-5319

Phone: (602) 263-1200

Fax: (602) 200-5383

More AZ providers

Mailing address

Po Box 31001-0698

Pasadena, CA 91110-0698

Registry dates

Enumerated: 2016-07-13
Last updated: 2016-07-13

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Sandra Moore — NPI 1154774214, Phoenix, AZ | NPI Central