Provider Demographics
NPI:1770444259
Name:MOISE, TAUNYA (CD)
Entity type:Individual
Prefix:
First Name:TAUNYA
Middle Name:
Last Name:MOISE
Suffix:
Gender:F
Credentials:CD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 221
Mailing Address - Street 2:
Mailing Address - City:CLEMENTS
Mailing Address - State:CA
Mailing Address - Zip Code:95227-0221
Mailing Address - Country:US
Mailing Address - Phone:925-303-6403
Mailing Address - Fax:
Practice Address - Street 1:2489 DISCOVERY BAY BLVD STE 402
Practice Address - Street 2:
Practice Address - City:DISCOVERY BAY
Practice Address - State:CA
Practice Address - Zip Code:94505-1008
Practice Address - Country:US
Practice Address - Phone:925-303-6403
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-11-24
Last Update Date:2025-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA3157374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula