Dna S Moore PT

NPI 1144548256 - Specialist - 174400000X

NPI Details
NPI 1144548256
Gender Female
Enumeration Date 05/13/2010
Last Updated 05/13/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
6400 LAUREL CANYON BLVD STE 560
NORTH HOLLYWOOD CA, 91606-1569, US
Phone (818) 760-0501
Fax
Business Location
6400 LAUREL CANYON BLVD STE 560
NORTH HOLLYWOOD CA, 91606-1569, US
Phone (818) 760-0501
Fax
Toxanomy
Taxonomy Code 174400000X
License State California
License Number PT19585
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According to our database, Dna S Moore PT NPI is 1144548256, taxonomy code is 174400000X and license number is PT19585, license state is located at California. Dna S Moore PT physically located at 6400 Laurel Canyon Blvd Ste 560, North Hollywood CA, 91606-1569. NPI Number Dna S Moore PT has the Individual type.

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1144548256 NPI number is provided on an as is basis without warranty of any kind. 1144548256 is maintained by the National Plan & Provider Enumeration System. The contents of Dna S Moore PT are for informational purposes only.