MRS. DARA SERENA MOORE
NPI 1548849011
Private Vehicle in Sacramento, CA
Active since April 03, 2021
About Mrs. Dara Serena Moore NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. DARA SERENA MOORE (NPI 1548849011) is an individual private vehicle provider in Sacramento, California, licensed in California (1049380) and active in the NPI registry since April 2021.
NPPES Registry Identity
NPI1548849011
Entity TypeIndividualFemale
Primary Taxonomy347C00000X
Provider Legal NameMRS. DARA SERENA MOORE
Location Address6557 PARK RIVIERA WAYSacramento, CA 95831
Mailing Address6557 Park Riviera WaySacramento, CA 95831 · (916) 889-3962
Phone(916) 889-3962
Sole ProprietorYes
Enumeration DateApril 3, 2021
NPPES CertifiedApril 3, 2021
✔ NPI 1548849011 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyPrivate VehicleTransportation Services
Taxonomy Code347C00000X
License✔ Licensed in CA · 1049380
Definition
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
6557 PARK RIVIERA WAY, Sacramento, CA 95831
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1548849011, enumerated as an "individual" on April 03, 2021.
The provider is located at 6557 PARK RIVIERA WAY SACRAMENTO, CA 95831 and the phone number is (916) 889-3962.
Private Vehicle with taxonomy code 347C00000X.
