SearchCalifornia106H00000X

Susana Moore

NPI 1710234364 · on the registry since 2012

Practice

Address
34102 Harvest Way
Wildomar, CA 92595
Phone
(951) 346-7219

Registry record

Primary taxonomy
106H00000X
106H00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-02-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California