Provider Demographics
NPI:1184992224
Name:MOORE, YOLANDA (CPCP)
Entity type:Individual
Prefix:MS
First Name:YOLANDA
Middle Name:
Last Name:MOORE
Suffix:
Gender:F
Credentials:CPCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 LAFAYETTE CIR
Mailing Address - Street 2:SUITE 200B
Mailing Address - City:LAFAYETTE
Mailing Address - State:CA
Mailing Address - Zip Code:94549-7688
Mailing Address - Country:US
Mailing Address - Phone:925-934-6020
Mailing Address - Fax:925-934-6040
Practice Address - Street 1:100 LAFAYETTE CIR
Practice Address - Street 2:SUITE 200B
Practice Address - City:LAFAYETTE
Practice Address - State:CA
Practice Address - Zip Code:94549-7688
Practice Address - Country:US
Practice Address - Phone:925-934-6020
Practice Address - Fax:925-934-6040
Is Sole Proprietor?:No
Enumeration Date:2011-12-04
Last Update Date:2011-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist