| Tonnie Moore, PA | |
|
555 Petaluma Ave, Suite B, Sebastopol, CA 95472-4224 | |
| (707) 823-7602 | |
| (707) 823-7625 |
| Full Name | Tonnie Moore |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 555 Petaluma Ave, Sebastopol, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619997269 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA17329 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Tonnie Moore, PA 555 Petaluma Ave, Suite B, Sebastopol, CA 95472-4224 Ph: (707) 823-7602 | Tonnie Moore, PA 555 Petaluma Ave, Suite B, Sebastopol, CA 95472-4224 Ph: (707) 823-7602 |
Kyla Wolff Ehrenreich, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: West County Health Centers, 652 Petaluma Ave Suite H, Sebastopol, CA 95472 Phone: 707-823-3166 | |
Mr. Kevin R Deutsche, RPA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 555 Petaluma Ave Ste B, Sebastopol, CA 95472 Phone: 707-823-7602 Fax: 707-823-7625 |