Indio Moore
Adult Companion in Vallejo, CA. Individual provider (NPI-1).
NPI number1942003751
StatusActive
Last updated in NPPESMay 8, 2025
Details
- NPI
- 1942003751
- Entity type
- Individual (NPI-1)
- Name
- Mr. Indio Moore
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 28, 2025
- Certification date
- May 8, 2025
- Last updated
- May 8, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 372600000X | Adult Companion | – | – | Yes |
Practice location
1840 Capitol StVallejo, CA 94590-5721
Phone 831-869-9741
Mailing address
1840 Capitol StVallejo, CA 94590-5721
Phone 831-869-9741
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All 32 Adult Companion providers in Vallejo · All 3,369 providers in Vallejo
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