Fredrick Moore, LISW

NPI 1356857650 · on the registry since 2017

Practice

Address: 101 Bodin Cir
Travis Afb, CA 94535
Phone: (707) 423-5174
Organisation at this address: Dfas
60 Msgs
60th Medgrp-Travis
60th Medical Group
60th Medgrp-Travis
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 659

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Also registered as: 1041C0700X
Licence states on file: AZ, OH
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2023-05-01
Status: Not present in the most recent federal file

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California