Provider Demographics
NPI:1689827404
Name:HOLLINGSWORTH-MOORE, ANNETTE IOLA (MD)
Entity Type:Individual
Prefix:DR
First Name:ANNETTE
Middle Name:IOLA
Last Name:HOLLINGSWORTH-MOORE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:18056 WIKA RD STE B
Mailing Address - Street 2:
Mailing Address - City:APPLE VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92307-2194
Mailing Address - Country:US
Mailing Address - Phone:760-813-3699
Mailing Address - Fax:442-292-2151
Practice Address - Street 1:18056 WIKA RD STE B
Practice Address - Street 2:
Practice Address - City:APPLE VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92307-2194
Practice Address - Country:US
Practice Address - Phone:760-813-3699
Practice Address - Fax:444-422-9221
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-23
Last Update Date:2022-03-03
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Provider Licenses
StateLicense IDTaxonomies
CAA105398207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology